Rhabdomyolysis Following Prolonged Entrapment on a Fence: A Case Report

Area of Science:

• Medical Case Reports
• Toxicology
• Orthopedics

Background:

• Rhabdomyolysis is a condition characterized by the breakdown of muscle tissue.
• Prolonged immobilization and heavy alcohol consumption are known independent causes of rhabdomyolysis.
• The specific scenario of entrapment leading to rhabdomyolysis without prolonged coma or seizures is not well-documented.

Observation:

• A 25-year-old man became entrapped on a fence for over three hours after consuming alcohol.
• He maintained a desperate grip with both forearms during the entrapment.
• This prolonged, static muscle exertion occurred without a reported period of prolonged coma or seizures.

Findings:

• The patient developed rhabdomyolysis as a direct consequence of the prolonged forearm immobilization.
• This case demonstrates that significant muscle damage can occur from sustained physical constraint, even in the absence of other typical predisposing factors like prolonged unconsciousness.
• Alcohol consumption was a contributing factor, likely impairing judgment and physical response.

Implications:

• Highlights the potential for rhabdomyolysis in cases of prolonged immobilization, even in younger individuals without pre-existing conditions.
• Underscores the importance of recognizing and managing rhabdomyolysis in diverse clinical scenarios beyond typical presentations.
• Emphasizes the need for prompt medical evaluation and treatment for individuals experiencing prolonged physical constraint, especially when combined with alcohol intoxication.