Severe rhabdomyolysis following an uncomplicated endoscopic procedure: A case report

Abstract

Rhabdomyolysis in adults after anesthetic administration is uncommon in those without underlying risk factors. We present a 34-year-old female with history of severe gastroesophageal reflux disease (GERD), hypothyroidism, and migraines who developed severe rhabdomyolysis following an uncomplicated general anesthetic for esophagogastroduodenoscopy (EGD) and placement of Bravo esophageal pH monitor. The patient did not have any known risk factors for malignant hyperthermia, and halogenated agents were not used during the procedure. We speculate that the rhabdomyolysis was caused by the use of succinylcholine. Providers should be aware that even patients without known risk factors may be at risk for developing rhabdomyolysis, and it is important to remain vigilant about this potentially life-threatening complication.