[Abdominal wall necrosis as expression of Munchausen's syndrome: a case report].
Münchausen'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).
Dechanet
C
C
Unité de chirurgie oncologique et mammaire, hôpital Arnaud-de-Villeneuve, 371, rue du Doyen-Gaston-Giraud, 34295 Montpellier cedex 05, France.
Dubon
O
O
El Gareh
N
N
Giacalone
P-L
PL
D034861:Abdominal Wall / Q000473:pathology* / Q000601:surgery; D000328:Adult; D002585:Cesarean Section; D062109:Dermatologic Surgical Procedures; D005260:Female; D006801:Humans; D009110:Munchausen Syndrome / Q000175:diagnosis*; D009336:Necrosis / Q000209:etiology / Q000601:surgery; D016728:Self-Injurious Behavior / Q000175:diagnosis*; D012867:Skin / Q000473:pathology*