Keenum Olivia D, Patel Shivam, Balasubramaniam Arthi, Bates William, Smallwood Donald
Radiology, Medical College of Georgia at Augusta University, Augusta, USA.
Cureus. 2025 May 3;17(5):e83426. doi: 10.7759/cureus.83426. eCollection 2025 May.
Rhabdomyolysis is a pathological condition characterized by the breakdown of muscle tissue, which often presents with nonspecific imaging findings but necessitates prompt intervention. Providing a differential diagnosis based on imaging findings can significantly aid managing physicians, while a clear clinical context enhances the radiologist's ability to identify critical findings. In this report, we present a case of proximal lower extremity fentanyl-induced rhabdomyolysis identified on computed tomography (CT) angiography (CTA) performed to evaluate for compartment syndrome in the distal left lower extremity. We will discuss the expected imaging findings associated with rhabdomyolysis on both CT and magnetic resonance imaging (MRI).
横纹肌溶解症是一种以肌肉组织分解为特征的病理状态，其影像学表现通常不具有特异性，但需要及时干预。基于影像学表现进行鉴别诊断可显著帮助主治医生，而清晰的临床背景可提高放射科医生识别关键发现的能力。在本报告中，我们介绍了一例近端下肢芬太尼诱导的横纹肌溶解症病例，该病例是在对左下肢远端进行计算机断层扫描（CT）血管造影（CTA）以评估骨筋膜室综合征时发现的。我们将讨论CT和磁共振成像（MRI）上与横纹肌溶解症相关的预期影像学表现。
