Munchausen syndrome revealed by subcutaneous limb emphysema: a case report.
BACKGROUND
Limb subcutaneous emphysema secondary to a Munchausen syndrome represents a rare and severe entity because it involves the functional prognosis of the limb and vital prognosis of the patient.


METHODS
We report the case of an 18-year-old Moroccan woman patient who presented to our hospital with a subcutaneous emphysema of the shoulder girdle and the right arm, caused by our patient. Treatment was aggressive, with a wide surgical debridement, parenteral antibiotic therapy and hyperbaric oxygen therapy. The results have been favorable.


CONCLUSIONS
The correlation of anamnestic data and clinical and para-clinical exams were essential for the diagnosis of Munchausen syndrome in this case. In this regard, we report a rare case of subcutaneous limb emphysema secondary to Munchausen syndrome.
Department of Orthopedic Trauma, Mohamed V Military Hospital, University Mohamed V- souissi Rabat Morocco, S/C ERSSM BP 1044, Rabat Océan, Morocco. kaldadakk@yahoo.fr.
Kaldadak
K
Koufagued
Department of Orthopedic Trauma, Mohamed V Military Hospital, University Mohamed V- souissi Rabat Morocco, S/C ERSSM BP 1044, Rabat Océan, Morocco. bouchafry@hotmail.com.
Bouchaib
B
Chafry
Department of Orthopedic Trauma, Mohamed V Military Hospital, University Mohamed V- souissi Rabat Morocco, S/C ERSSM BP 1044, Rabat Océan, Morocco. youssef.benyass@gmail.com.
Youssef
Y
Benyass
Department of Orthopedic Trauma, Mohamed V Military Hospital, University Mohamed V- souissi Rabat Morocco, S/C ERSSM BP 1044, Rabat Océan, Morocco. abissyves@yahoo.fr.
Yves
Y
Abissegue
Department of Orthopedic Trauma, Mohamed V Military Hospital, University Mohamed V- souissi Rabat Morocco, S/C ERSSM BP 1044, Rabat Océan, Morocco. barrak_ka@yahoo.fr.
Driss
D
Benchebba
Department of Orthopedic Trauma, Mohamed V Military Hospital, University Mohamed V- souissi Rabat Morocco, S/C ERSSM BP 1044, Rabat Océan, Morocco. salimbouabid@yahoo.fr.
Salim
S
Bouabid
Department of Orthopedic Trauma, Mohamed V Military Hospital, University Mohamed V- souissi Rabat Morocco, S/C ERSSM BP 1044, Rabat Océan, Morocco. chagarkacem@yahoo.fr.
Chagar
C
Belkacem
D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001134:Arm Injuries; D003646:Debridement; D005260:Female; D005547:Foreign Bodies / Q000000981:diagnostic imaging; D006801:Humans; D006931:Hyperbaric Oxygenation; D009110:Munchausen Syndrome / Q000175:diagnosis*; D016728:Self-Injurious Behavior; D012785:Shoulder Joint / Q000000981:diagnostic imaging; D013352:Subcutaneous Emphysema / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D014950:Wounds, Penetrating / Q000150:complications
D000900:Anti-Bacterial Agents