Bulantı ve Kusma ile Kendini Gösteren İki Rabdomiyoliz Vakası

Year 2020, Volume: 11 Issue: 41, 127 - 130, 01.12.2020

Zeki Kemeç , Selçuk Akın Mehmet Şıkgenç

https://doi.org/10.17944/mkutfd.701359

Abstract

Çok farklı nedenlerden kaynaklanabilen rabdomiyolizin travmalara bağlı olarak da görülebildiği kanıtlanmıştır. Şiddetli fiziki saldırılar sonrasında rabdomiyoliz ile ilişkili akut böbrek hasarı (rabdomiyoliz-akut böbrek hasarı) sık karşılaşılan bir durum olmasa da literatürde karşılaşılabilmektedir. Akut böbrek hasarının insan hayatını tehdit eden bir yönü olması dikkat edilmesini zorunlu kılmaktadır. Bu çalışmada rabdomiyoliz-akut böbrek hasarı olarak tanı konulan iki olgu rapor edilmektedir. Birinci olgu 39 yaşında erkek bir hastanın maruz kaldığı şiddetli fiziki saldırı sonrası bulantı-kusma ve akut böbrek hasarı, ikinci olgu ise 21 yaşında erkek bir hastanın uzun mesafe koşusu ve sonrasında maruz kaldığı şiddetli fiziki saldırı sonrası yoğun dispeptik yakınma ve akut böbrek hasarı olup, bu hastalar acil servisimize başvurdular. Her iki olguda da akılcı konservatif tedavi ile iyileşme sağlanmış olup hemodiyalize ihtiyaç duyulmamıştır. Açıklanamayan şiddetli dispeptik yakınma ile acil polikliniğine başvuran hastalarda hekimlerin rabdomiyoliz-akut böbrek hasarı olasılığını göz önünde bulundurması gerekmektedir. Erken tanı ve tedavi, rabdomiyoliz ile ortaya çıkabilecek akut böbrek yetmezliğini önleyebilir ve rabdomiyoliz hastalarında böbrek fonksiyon bozukluğunun potansiyel olumsuz etkilerini en aza indirebilir.

Keywords

Rabdomyoliz, Şiddetli fiziki saldırı, Akut böbrek hasarı, Bulantı

Supporting Institution

Yok

Two Cases Rhabdomyolysis Presented by Nausea and Vomiting

Abstract

It has been proved that rhabdomyolysis, which can be occurred by many different causes, can also be observed due to traumas. Although severe acute kidney injury associated with rhabdomyolysis (rhabdomyolysis-acute kidney injury) after severe physical attacks is not common, it can be encountered in the literature. Acute kidney injury should be considered as a life-threating case. In this study, two cases diagnosed as rhabdomyolysis-acute kidney injury are reported. In the first case, 39-year-old male patient applied to our emergency department due to nausea-vomiting and acute kidney injury after exposed to a severe physical attack, and in the second case 21-year-old male patient applied to our emergency department due to severe dyspeptic complaints and acute kidney injury after exposed to a severe physical attack and long-distance run. In both cases, the recovery was provided with rational conservative treatment and hemodialysis was not required. Physicians should consider the possibility of rhabdomyolysis-acute kidney injury in patients who applied to the emergency department due to unexplained severe dyspeptic complaints. Early diagnosis and treatment may prevent acute renal failure associated with rhabdomyolysis and minimize the potential adverse effects of renal dysfunction in rhabdomyolysis patients.

Keywords

Rhabdomyolysis, Severe Physical Attack, Acute kidney Injury, Nausea, Vomiting

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