Rhabdomyolysis Following Colonoscopy: A Case Report

Ann Coloproctol. 2018 Feb;34(1):52-55. doi: 10.3393/ac.2018.34.1.52. Epub 2018 Feb 28.

Abstract

We experienced a case of 1 patient who died from rhabdomyolysis-related complications after colonoscopy. A 60-year-old man had undergone an 'uncomplicated' colonoscopic polypectomy. Approximately 10 hours following this procedure, the patient complained of increasing left abdominal pain. His computed tomography image showed free gas, but his operative findings revealed no macroscopic perforation or abscess formation. Eight hours after the operation, the patient presented with myoglobulinuria, and we diagnosed the condition to be rhabdomyolysis. Based on this case, we recommend that rhabdomyolysis be added to the list of complications following a colonoscopic procedure. Moreover, for prevention and early treatment, endoscopists should be attentive to the risk factors and signs/symptoms of rhabdomyolysis.

Keywords: Colonoscopy; Complications; Endoscopic mucosal resection; Rhabdomyolysis.