[Case of self mutilation of urethra in a Munchausen's syndrome patient].
A 33-year-old man presented with urethral bleeding and syncope. Urethroscopy revealed erosive lesion with bleeding at bulbar urethra. Magnetic resonance imaging, biopsy, and blood examination were performed, but the cause of urethral bleeding was not identified. By accident, chopsticks with blood ware detected in his ward. It was revealed that urethral bleeding was caused by self-mutilation with chopsticks. He consulted a psychiatrist, and was diagnosed with 'munchausen's syndrome'.
Department of Urology, Ikeda Municipal Hospital.
Shinichiro
S
Fukuhara
Norihiko
N
Kawamura
Yoichi
Y
Kakuta
Tetsuo
T
Imazu
Tsuneo
T
Hara
Seiji
S
Yamaguchi
D000328:Adult; D003937:Diagnosis, Differential; D004724:Endoscopy; D006470:Hemorrhage / Q000209:etiology / Q000473:pathology; D006801:Humans; D008297:Male; D009110:Munchausen Syndrome / Q000150:complications* / Q000175:diagnosis* / Q000523:psychology; D012652:Self Mutilation / Q000209:etiology* / Q000523:psychology; D014521:Urethra / Q000293:injuries* / Q000473:pathology; D014522:Urethral Diseases / Q000209:etiology / Q000473:pathology