Nadir bir munchausen sendromu olgusu: Yabancı cisim yutulması

Year 2021, , 202 - 204, 30.08.2021

Emin Uysal , Hatice Karacam , Serap Aydemir Dikici

https://doi.org/10.30565/medalanya.877190

Abstract

Munchausen Sendromu (MS), hastalar tarafından kasıtlı olarak üretilen zihinsel veya fiziksel hastalıklarla karakterizedir. Bu olgu sunumunda MS'i sunmayı ve güncel literatürü gözden geçirmeyi amaçladık. 36 yaşındaki kadın hasta, dikiş iğneleri yutma sonrası gelişen karın ağrısı şikâyetiyle acil servise başvurdu. Fizik muayenede palpasyonla batında minimal hassasiyet vardı. Çekilen ayakta direkt batın grafisinde ondan fazla iğne şeklinde opasite mevcuttu. Hastanın anamnezinde tutarsızlıklar ve cerrahi girişim için aşırı istekli olması MS şüphesini uyandırdı. Psikiyatri konsültasyonu istendi, MS tanısıyla yatışı planlandı. Klinik şüphe ve ayrıntılı anamnez, tanı için anahtardır. Hekimler, hastaneye sık başvuran, şikâyetleri ile öykü ve muayene bulguları arasında uyumsuzluk olan hastalarda MS tanısını akla getirmeli ve psikiyatrik destek almalıdır.

Keywords

munchausen sendromu, yabancı cisim, tanı

Supporting Institution

Yok

Project Number

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Thanks

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A rare case of Munchausen syndrome: foreign body ingestion

Abstract

Munchausen Syndrome (MS) is characterized by mental or physical diseases intentionally induced by the patients. In this case report, we aimed to present MS and review current literature. A 36-year-old female patient was admitted to the emergency room with the complaint of abdominal pain that developed after swallowing stitch needles. Physical examination revealed minimal tenderness in the abdomen with palpation. The plain abdominal X-ray revealed more than ten needle-shaped opacities. During the anamnesis, the patient was incoherent and too determined to have a surgical intervention, which gave rise to a suspicion of MS. A psychiatrist consultation was conducted, she was diagnosed with MS and hospitalization of the patient was planned. Clinical suspicion and detailed anamnesis are the key for the diagnosis. Physicians should bring to mind the diagnosis of MS and seek psychiatric support in patients with frequent hospital admissions, incompatibility between their complaints and a history and examination findings.

Keywords

Munchausen syndrome, foreign bodies, diagnosis

Project Number

Yok

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