[Munchausen's syndrome by proxy and chronic intestinal pseudo-obstruction].
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.
Ginies
J L
JL
l'Hôpital d'Enfants, Centre Robert-Debré, CHU, Angers.
Goulet
O
O
Champion
G
G
Larchet
M
M
Granry
J C
JC
Coupris
L
L
Fékété
C
C
Ricour
C
C
Limal
J M
JM
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*
D001463:Barbiturates
Syndrome de Munchausen par procuration et pseudo-obstruction intestinale chronique.