Ashani Ratnayake, Sayomi Warnakula, Yasitha Handapangoda, Udara Rathnayake, Lasanthika Athapaththu, Sanduni Rupasinghe
A 29-year-old professional dancer developed rhabdomyolysis after distal radial fracture fixation complicated by laryngospasm, negative pressure pulmonary oedema, suxamethonium use, and ICU admission. Creatine phosphokinase (CPK) peaked at 36,429 U/L with dark urine and hyperkalaemia. Recent prolonged heated massage-bed use, with minor trauma and suxamethonium, may have contributed. Biopsy confirmed skeletal muscle necrosis.