Contrast-Induced Rhabdomyolysis Occurring after ERCP in a Patient with Pancreatic Cancer: A Case Report

  • Natassja Moriarty Department of Medicine, Furness General Hospital, Barrow-in-Furness, UK
  • Jonathan Moriarty Department of Medicine, Furness General Hospital, Barrow-in-Furness, UK
  • John Keating Department of Gastroenterology, Furness General Hospital, Barrow-in-Furness, UK

Keywords

Iodine-based contrast, rhabdomyolysis, ERCP, pancreatic cancer, case report

Abstract

Objective: We present a patient with pancreatic cancer who developed weakness, acute renal failure and significantly raised creatine kinase levels post-ERCP and who was assessed as having contrast-induced rhabdomyolysis.
Results: The patient underwent haemofiltration and ultimately succumbed to his condition.
Conclusion: Rhabdomyolysis is a potentially life-threatening condition which occurs because of damage to skeletal muscle, with release of myoglobin and electrolytes into the circulation. The mortality rate is 59% in severe cases, despite appropriate treatment.

VIEW THE ENTIRE ARTICLE

References

  • Chavez L, Leon M, Einav S, Varon J. Beyond muscle destruction: a systematic review of rhabdomyolysis for clinical practice. Crit Care 2016;20(1):135.

  • Candela N, Silva S, Georges B, Cartery C, Robert T, Moussi-Frances J, et al. Short- and long-term renal outcomes following severe rhabdomyolysis: a French multicenter retrospective study of 387 patients. Ann Intensive Care 2020;10(1):27.

  • Beetham R. Biochemical investigation of suspected rhabdomyolysis. Ann Clin Biochem 2000;37(5):581–587.

  • Fah Lee H. I feel unenergetic. Malays J Emerg Med 2018;3(2):PP013. Available from: http://www.m-jem.com/index.php/mjem/article/view/378 (accessed 1 May 2020).

  • Torres P, Helmstetter J, Kaye A, Kaye A. Rhabdomyolysis: pathogenesis, diagnosis, and treatment. Ochsner J 2015;15(1):58–69.

  • Alhadi S, Ruegner R, Snowden B, Hendey G. Urinalysis is an inadequate screen for rhabdomyolysis. Am J Emerg Med 2014;32(3):260–262.

  • Published: 2020-05-29

    Issue: Vol 7 No 8 (view)

    Section: Articles

    How to cite:
    1.
    Moriarty N, Moriarty J, Keating J. Contrast-Induced Rhabdomyolysis Occurring after ERCP in a Patient with Pancreatic Cancer: A Case Report. EJCRIM [Internet]. 2020May29 [cited 2020Sep.24];7(8). Available from: https://ejcrim.com/index.php/EJCRIM/article/view/1704