Abdominal panniculitis as a presentation of Munchausen Syndrome
Abdominal panniculitis as a presentation of Munchausen Syndrome作者机构：Department of Upper Gatrointestinal and Hepato-Pancreato-Biliary Surgery Royal Devon and Exeter Foundation Trust Exeter UK
出 版 物：《Case Reports in Clinical Medicine》 (临床医学病理报告（英文）)
年 卷 期：2013年第2卷第5期
页 面：322-325页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Munchausen Syndrome Abdominal Panniculitis
摘 要：Factitious disorders including Munchausen’s syn drome are encountered by all clinicians. A considerable number of cases of Munchausen’s syndrome are under-diagnosed in clinical practice. We present a 34-year-old man who was admitted with symptoms of epigastric pain, vomiting and peri-umbilical ecchymosis. Physical examination showed signs of inflammation in the abdominal wall with tenderness and guarding in the upper abdomen. However, various blood tests were unremarkable. Computed Tomography and demonstrated anterior abdominal wall panniculitis. After many investigations looking into various aetiological factors that could lead to fat necrosis, a diagnosis of Munchausen’s syndrome was made and the patient was discharged to the care of the local general doctor practice following psychiatric input.
维普期刊数据库