Munchausen syndrome revealed by subcutaneous limb emphysema: a case report

Journal of Medical Case Reports

Chagar Belkacem¹  Salim Bouabid¹  Driss Benchebba¹  Yves Abissegue¹  Youssef Benyass¹  Bouchaib Chafry¹  Kaldadak Koufagued¹ 

[1] Department of Orthopedic Trauma, Mohamed V Military Hospital, University Mohamed V- souissi Rabat Morocco, S/C ERSSM BP 1044, Rabat Océan, Morocco

关键词: Munchausen syndrome;    Factitious disorder;    Limb;    Subcutaneous emphysema;   

Others  :  1231397
DOI  :  10.1186/s13256-015-0649-x

 received in 2015-01-23, accepted in 2015-07-08,  发布年份 2015

【 摘 要 】

Introduction

Limb subcutaneous emphysema secondary to a Munchausen syndrome represents a rare and severe entity because it involves the functional prognosis of the limb and vital prognosis of the patient.

Case presentation

We report the case of an 18-year-old Moroccan woman patient who presented to our hospital with a subcutaneous emphysema of the shoulder girdle and the right arm, caused by our patient. Treatment was aggressive, with a wide surgical debridement, parenteral antibiotic therapy and hyperbaric oxygen therapy. The results have been favorable.

Conclusions

The correlation of anamnestic data and clinical and para-clinical exams were essential for the diagnosis of Munchausen syndrome in this case. In this regard, we report a rare case of subcutaneous limb emphysema secondary to Munchausen syndrome.

【 授权许可】

   
2015 Koufagued et al.

【 图 表 】

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