STRENUOUS LABOR CULMINATING IN RHABDOMYOLISIS – CASE REPORT: Cadê report

• Autor(a) principal: Salles, Cristiano Rodrigues
• Data de Publicação: 2020
• Outros Autores: Vilela, Yohanna Peixoto, Freitas, Rafael de Castro, Goulart, Carlos Alexandre Ribeiro, Siqueira, Juliana Batista, Barroso, Patrícia Guarino
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Científica da Faculdade de Medicina de Campos
• Texto Completo: https://www.fmc.br/ojs/index.php/RCFMC/article/view/252
• topic: Rabdomiólise; trabalho de parto; coluria; Rhabdomyolysis, Strenuous labor, dark urine

ABSTRACT Introduction: Rhabdomyolysis is a syndrome resulting from the disintegration of the striated muscle that evolves with myalgia, asthenia and colúria, your classic triad. Have as common causes excessive muscular stress. On Scielo and Pubmed database not found literature that compare the labor to physical exercise, but considering factors inherent to the labor associated with the physical effort, we can infer and characterize it as a physical exercise, Since this also causes muscular stress. Objective: to report a case of rhabdomyolysis resulting in strenuous labor, in order to warn about the prevention, symptoms and their risk factors, seeking early diagnosis and treatment, thus improving the prognosis of the patients. Description of case: 30 years, first pregnancy, 41 weeks and 5 days, without Comorbidities, was admitted to the Unimed Hospital in the city of Macaé with amniorrexe frame premature. After 18 hours of labor was indicated cesarean section by physical exhaustion, at the request of the patient and of your spouse. During vesical probe colúria was observed, being carried out vigorous moisturizing with crystalloids and lasix, and venous procedure took place without complications.Ordered tests for diagnostic clarification, has tabled amendments that confirmed picture of rhabdomyolysis. Evolved postoperatively with intense frame myalgia and fatigue. Was discharged from the hospital on the 5th day post partum after progressive improvement. Conclusion: Rhabdomyolysis should be considered as a differential diagnosis of myalgia, asthenia and colúria postpartum, allowing your immediate treatment reducing kidney complications and comorbidities Keywords: Rhabdomyolysis, Strenuous labor, Dark urine