CC BY-NC-ND 4.0 · Indian J Plast Surg 2007; 40(02): 194-198
DOI: 10.1055/s-0039-1699202
Case Report
Association of Plastic Surgeons of India

Munchausen′s syndrome in plastic surgery practice: A bewildering situation!

D Nardella
Department of Plastic Surgery, Liège, Belgium
,
M S Sohawon
,
O Heymans
› Institutsangaben
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Publikationsverlauf

Publikationsdatum:
15. Januar 2020 (online)

ABSTRACT

The plastic surgeon rarely encounters patients expressing factitious disorders. Through their incredible imagination, these patients conjure numerous lesions for themselves and willingly accept to undergo invasive diagnostic procedures and risky therapies. We report four cases of Munchausen′s syndrome in the field of plastic surgery and follow with a discussion of as to when should the alarm bells start ringing for the unsuspecting plastic surgeon, to assist him in dealing with these too often-ignored disorders.

 
  • 1 American Psychiatric Association. The diagnostic and statistical manual of mental disorders. 4th ed. American Psychiatric Association; Washington: 1994: p471-5
  • 2 Eisendrath SJ. Factitious physical disorders: Treatment without confrontation. Psychosomatics 1989; 30: 383-7
  • 3 Hamolsky MW. Truth is stranger than factitious. N Engl Med 1982; 307: 436-7
  • 4 Reich P, Gottfried LA. Factitious disorders in a teaching hospital. Ann Intern Med 1983; 99: 240-7
  • 5 Aduan RP, Fauci AS, Dale DC, Herzberg JH, Wolff SM. Factitious fever and self-induced infection: A report of 32 cases and review of the literature. Ann Intern Med 1979; 90: 230-42
  • 6 Folks DG, Freeman AM. Munchausen’s syndrome and other factitious illness. Psychiatr Clin North Am 1985; 8: 263-78
  • 7 Masterton G. Factitious disorders and the surgeon. Br J Surg 1995; 82: 1588-9
  • 8 Paar GH. Factitious disorders in the field of surgery. Psychoter Psychosom 1995; 62: 41-7
  • 9 Mahler D, Ginath Y. The "Münchausen syndrome" in aesthetic surgery of the nose: The patient’s problem or the surgeon’s problem?. Ann Plast Surg 1982; 8: 258-62
  • 10 Agris J, Simmons CW. Factitious (self-inflicted) skin wounds. Plast Reconstr Surg 1978; 62: 686-92
  • 11 Castor B, Ursing J, Aberg M, Pålsson N. Infected wounds and repeated septicemia in a case of factitious illness. Scand J Infect Dis 1990; 22: 227-32
  • 12 Basex A, Corraze J. Les pathomimies. Rev Prat 1966; 16: 2073-84