TEXTURE RHABDOMYORHEXIS - A PSEUDO-CRUSH SYNDROME

Two patients who were systematically tortured and deprived of any oral intake presented with acute renal failure several days later. Unlike the classical crush syndrome, we describe a clinical entity wherein re peated direct muscle injury from blunt trauma, in addition to forced d ehydration, led to myoglobinuria and renal failure. The literature is reviewed, and biochemical indices predicting severity of injury, patho physiology, and management protocol are described. This pseudo-crush s yndrome caused by rhabdomyorhexis in addition to rhabdomyolysis is an unusual entity, in part related to extreme sociopolitical factors.