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J Gynecol Obst Bio R · Nov 2007
Case Reports[Abdominal wall necrosis as expression of Munchausen's syndrome: a case report].
- C Dechanet, O Dubon, N El Gareh, and P-L Giacalone.
- Unité de chirurgie oncologique et mammaire, hôpital Arnaud-de-Villeneuve, 371, rue du Doyen-Gaston-Giraud, 34295 Montpellier cedex 05, France.
- J Gynecol Obst Bio R. 2007 Nov 1;36(7):660-2.
AbstractMünchausen's syndrome is a psychiatric disease with behaviour disorders including self-injuries. Self mutilations interest all the body, and among others the abdominal wall, who can mimic complications of surgery. We report the history of a woman consulting for an abdominal wall panniculitis two years after a caesarean. Medical history, histological patterns and the psychological history of the patient excluded the diagnosis of a surgical complication and Münchausen's syndrome was strongly evocated. The treatment was surgical, with excision of the cutaneous necrosis. The healing was obtained by treatment with Vacuum Assisted Closure System (VAC).
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