[Factitious disease in surgery. The problem of the self-induced disorder of wound healing].
Self-inflicted disorders of wound healing (lasting for 18 to 84 months and requiring 85 surgical interventions) were diagnosed in ten patients (8 women and 2 men, aged 29 years) nine of whom had undergone various operations. Retrospectively the indications for the primary operation (appendectomy in four, mastectomy, cholecystectomy, adnexectomy, removal of a lipoma and incision of a perineal abscess in one each) had not been unequivocal. One woman was also anorexic, two had "psychogenic seizures", and three had marital or partner problems. One man who had a self-inflicted skin emphysema committed suicide two years later, and one woman died of septicaemia after a self-induced wound healing disorder. The wound healing disorders finally healed in seven patients. Psychotherapy was successful in two patients.
Krause
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Abteilung für Allgemeine Chirurgie, Zentrum Chirurgie der Universität Essen.
Eigler
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FW
D000293:Adolescent; D000328:Adult; D005162:Factitious Disorders / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011446:Prospective Studies; D011599:Psychopathology; D011613:Psychotherapy; D012086:Reoperation / Q000523:psychology; D012189:Retrospective Studies; D013514:Surgical Procedures, Operative / Q000523:psychology*; D014945:Wound Healing
Artifizielle Krankheit in der Chirurgie. Das Problem der selbstinduzierten Wundheilungsstörung.