[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-460005-105":59,"doc-detail-460005-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","bilateral-rhabdomyolysis-after-radical-hysterectomy-in-the-prolonged-lithotomy-position-a-case-report","Bilateral rhabdomyolysis after radical hysterectomy in the prolonged lithotomy position - a case report","","Background Rhabdomyolysis is a rare but severe postoperative complication, typically presenting with localized pain, swelling, numbness, and muscle weakness, and sometimes accompanied by myoglobinuria and elevated creatine phosphokinase. Case presentation A 41-year-old Han Chinese woman developed marked bilateral gastrocnemius pressure pain on postoperative day 1 after laparoscopic radical hysterectomy in the lithotomy position, with imaging and markedly raised creatine phosphokinase supporting rhabdomyolysis. Treatment was symptomatic, and her condition improved. Conclusion Prompt recognition and active management are needed to prevent complications including AKI and multiple organ dysfunction.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/bilateral-rhabdomyolysis-after-radical-hysterectomy-in-the-prolonged-lithotomy-position-a-case-report/460005/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/bilateral-rhabdomyolysis-after-radical-hysterectomy-in-the-prolonged-lithotomy-position-a-case-report/460005.png","ImageObject",300,407,{"name":92,"@type":93},"Elsa","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",15,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What complication does the case report focus on?","Question",{"text":113,"@type":114},"It focuses on bilateral rhabdomyolysis occurring after radical hysterectomy performed in the prolonged lithotomy position.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How did the patient present after surgery?",{"text":118,"@type":114},"On postoperative day 1, she reported significant pressure pain in both lower limbs’ gastrocnemius muscles.",{"name":120,"@type":111,"acceptedAnswer":121},"What is the clinical takeaway regarding management?",{"text":122,"@type":114},"Early detection and active management are needed because intraoperative rhabdomyolysis may be asymptomatic or lead to severe outcomes such as AKI and multiple organ dysfunction.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},460005,1791101428,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":34,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},137455077381,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Liu et al. Journal of Medical Case Reports [https://doi.org/10.1186/s13256-025-05071](https://doi.org/10.1186/s13256-025-05071)  \n(2026) 20:12 -y  \nJournal of Medical Case Reports  \n CASE REPORT Open Access  \nBilateral rhabdomyolysis after radical hysterectomy in the prolonged lithotomy position: a case report  \nMin Liu 1*, Zhijian You1, Yufei Duan1 andYidan Huang1  \nAbstract  \nBackground Rhabdomyolysis is a rare but severe complication of surgery. It usually presents as localized pain, swelling, numbness, and muscle weakness in the damaged counterpart and may be accompanied by myoglobinuria and varying degrees of elevated creatinine phosphokinase.  \nCase presentation In this case, a 41-year-old woman, of Han Chinese ethnicity, who underwent laparoscopic radical hysterectomy in the lithotomy position, complained of significant bilateral lower extremity gastrocnemius pressure pain on postoperative day 1. Lower extremity vascular color Doppler ultrasonography revealed a left calf medial gastrocnemius muscle tear with possible hematoma formation. The serum creatine phosphokinase level increased to 7540.9 U/L. Magnetic resonance imaging of both calves revealed symmetrical mass-like abnormal signals with clear borders in the posterior upper calf muscles on both sides. We considered that she might have suffered from rhabdomyolysis and treated her symptomatically, and her condition gradually improved without other complications. Conclusion Although the incidence of intraoperative rhabdomyolysis is not high, it occasionally occurs during surgery in the lithotomy position. It may be asymptomatic or may cause severe symptoms such as AKI and multiple organ dysfunction. Therefore, prompt detection and active management are needed to avoid severe complications in clinical practice.  \nKeywords Rhabdomyolysis, Lithotomy, Hysterectomy, Compartment syndrome, Case report  \nIntroduction  \nRhabdomyolysis (RM) is the result of rhabdomyolytic injury from various causes, leading to a range of clinical symptoms, such as an imbalance of electrolytes and acid– base, abnormal coagulation, renal dysfunction caused by toxic cell contents, and myoglobin entering the body circulation [1, 2]. Acute kidney injury (AKI) is one of the worst complications of RM, with an incidence of 13–50% and a mortality rate of 20–50%[3, 4]. The key to treating  \n*Correspondence: Min Liu [liumintg2022@163.com](liumintg2022@163.com)  \n1 Department of Anaesthesiology, Liuzhou People’s Hospital, Liuzhou, China  \nRM is identifying the cause and promptly addressing risk factors [5]. The treatment options for RM include (1) volume therapy, (2) alkalinization of urine, (3) mannitolinfusion, (4) treatment for metabolic abnormalities, and (5) AKI treatment.  \nCase presentation  \nThis case report was prepared with reference to the CAse REports (CARE) guidelines. The patient, a 41-year-old married Han Chinese woman, presented with 2 gravida and 2 para and no history of smoking (height, 158 cm; weight, 57 kg; BMI, 22.8 kg/m2). She had undergone cervical conization 6 years prior and had been suffering from vaginal bleeding after coitus for the past month. The patient underwent an outpatient cervical biopsy, with  \n© The Author(s) 2025. Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licenc","cbCaisT7P6xg8w7O","https://ap.wps.com/l/cbCaisT7P6xg8w7O","pdf",1182976,"English","# Abstract\n## Background\n## Case presentation\n## Conclusion\n# Keywords\n# Introduction\n# Case presentation","[{\"question\":\"What complication does the case report focus on?\",\"answer\":\"It focuses on bilateral rhabdomyolysis occurring after radical hysterectomy performed in the prolonged lithotomy position.\"},{\"question\":\"How did the patient present after surgery?\",\"answer\":\"On postoperative day 1, she reported significant pressure pain in both lower limbs’ gastrocnemius muscles.\"},{\"question\":\"What is the clinical takeaway regarding management?\",\"answer\":\"Early detection and active management are needed because intraoperative rhabdomyolysis may be asymptomatic or lead to severe outcomes such as AKI and multiple organ dysfunction.\"}]","Bilateral rhabdomyolysis after radical hysterectomy in the prolonged lithotomy position - a case report | PDF",1790757488,18]