{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T01:56:09Z","timestamp":1790646969522,"version":"4.1.0"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Rhabdomyolysis is an uncommon but potentially life-threatening complication of bariatric surgery, typically occurring in the immediate postoperative period and associated with prolonged operative time, improper positioning, or extreme obesity. We report a 16-year-old female with class III obesity who underwent uneventful laparoscopic sleeve gastrectomy and was discharged on postoperative day 1. Approximately 30\u00a0days later, she presented with progressive weakness, myalgia and severe hypernatremia, elevated creatinine and creatine phosphokinase, suggestive of rhabdomyolysis. She was managed with aggressive intravenous hydration and gradual correction of hypernatremia, with full recovery of muscle strength and renal function. This case highlights a delayed presentation of severe hypernatremia and rhabdomyolysis following laparoscopic sleeve gastrectomy in an adolescent patient. Clinicians should maintain a low threshold for checking creatine phosphokinase and electrolytes in post-bariatric patients with myalgia, weakness, or dark-colored urine, regardless of the time elapsed since surgery.<\/jats:p>","DOI":"10.1093\/jscr\/rjag859","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T19:25:12Z","timestamp":1789673112000},"source":"Crossref","is-referenced-by-count":0,"title":["Severe hypernatremia and rhabdomyolysis 30\u00a0days after laparoscopic sleeve gastrectomy: a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Seyed Nooredin","family":"Daryabari","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Minimally Invasive and Bariatric Surgery, Firoozgar Hospital, School of Medicine, Iran University of Medical Sciences , Valiasr Square, Beh-Afarin Street, Tehran, 1593748711 ,","place":["Iran"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8801-2588","authenticated-orcid":false,"given":"Ali","family":"Nadjafi-Semnani","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Minimally Invasive and Bariatric Surgery, Rasool-e Akram Hospital, School of Medicine, Iran University of Medical Sciences , Niayesh Street, Sattarkhan Avenue, corner of Mansouri Street, Tehran 1445613131 ,","place":["Iran"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"2026092821043484700_ref1","doi-asserted-by":"crossref","DOI":"10.1016\/j.metop.2025.100375","article-title":"Obesity: prevalence, causes, consequences, management, preventive strategies and future research directions","volume":"27","author":"Ahmed","year":"2025","journal-title":"Metabolism 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bariatric surgery: a multicenter, prospective study on incidence, risk factors, and therapeutic strategy in a cohort from South Italy","volume":"12","author":"Tolone","year":"2016","journal-title":"Surg Obes Relat Dis"},{"key":"2026092821043484700_ref6","first-page":"58","article-title":"Rhabdomyolysis: pathogenesis, diagnosis, and treatment","volume":"15","author":"Torres","year":"2015","journal-title":"Ochsner J"},{"key":"2026092821043484700_ref7","doi-asserted-by":"crossref","first-page":"990","DOI":"10.1007\/s11695-023-06500-x","article-title":"Prevalence of rhabdomyolysis following bariatric surgery and its associated risk factors: a meta-analysis","volume":"33","author":"Gao","year":"2023","journal-title":"Obes Surg"},{"key":"2026092821043484700_ref8","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1381\/096089206777346655","article-title":"Rhabdomyolysis after bariatric surgery","volume":"16","author":"Freitas Carvalho","year":"2006","journal-title":"Obes Surg"},{"key":"2026092821043484700_ref9","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1016\/S1726-4901(09)70428-9","article-title":"Extreme hypernatremia combined with rhabdomyolysis and acute renal failure","volume":"72","author":"Yang","year":"2009","journal-title":"J Chin Med Assoc"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag859\/71451328\/rjag859.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag859\/71451328\/rjag859.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T01:04:37Z","timestamp":1790643877000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag859\/8842677"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":9,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,8,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag859","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,9]]},"published":{"date-parts":[[2026,8,31]]},"article-number":"rjag859"}}