title: [Munchausen's syndrome by proxy and chronic intestinal pseudo-obstruction].
abstract: A case of intestinal pseudo-obstruction in a 4 1/2 year-old boy is reported. All etiologic investigations remained negative. Management successively required continuous enteral feeding, ileostomy then total parental nutrition. The proof of a chronic barbiturate intoxication, induced by the mother, was made only after 2 1/2 years of follow-up, when the patient was in a critical condition. Separation of the child from his family led to complete disappearance of symptoms within a few days.
authors.affiliation: l'Hôpital d'Enfants, Centre Robert-Debré, CHU, Angers.
authors.forename: J L
authors.initials: JL
authors.lastname: Ginies
authors.forename: O
authors.initials: O
authors.lastname: Goulet
authors.forename: G
authors.initials: G
authors.lastname: Champion
authors.forename: M
authors.initials: M
authors.lastname: Larchet
authors.forename: J C
authors.initials: JC
authors.lastname: Granry
authors.forename: L
authors.initials: L
authors.lastname: Coupris
authors.forename: C
authors.initials: C
authors.lastname: Fékété
authors.forename: C
authors.initials: C
authors.lastname: Ricour
authors.forename: J M
authors.initials: JM
authors.lastname: Limal
mesh_terms: D001463:Barbiturates / Q000633:toxicity; D002649:Child Abuse; D002675:Child, Preschool; D005190:Family; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000139:chemically induced*; D008297:Male; D009110:Munchausen Syndrome / Q000175:diagnosis*
chemical_list: D001463:Barbiturates
vernacular_title: Syndrome de Munchausen par procuration et pseudo-obstruction intestinale chronique.