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Self-inflicted pneumothoraces.

J D Urschel1, J D Miller, W F Bennett

  • 1Department of Surgery, McMaster University, Hamilton, Ontario, Canada. urschelj@fhs.mcmaster.ca

The Annals of Thoracic Surgery
|July 24, 2001
PubMed
Summary
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Self-inflicted pneumothoraces, a rare psychiatric manifestation, can be mistaken for other conditions. Awareness of factitious disorders helps thoracic surgeons avoid unnecessary procedures and improve patient outcomes.

Area of Science:

  • Psychiatry
  • Thoracic Surgery

Background:

  • Self-inflicted pneumothorax is an uncommon presentation of psychiatric disorders.
  • Factitious disorders involve the intentional production or feigning of physical or psychological symptoms.

Observation:

  • This report details two cases of patients presenting with self-inflicted pneumothoraces.
  • Clinical features typical of factitious disorders were observed in these patients.

Findings:

  • The cases highlight the importance of recognizing psychiatric illness as a cause of pneumothorax.
  • Misdiagnosis can lead to inappropriate surgical intervention.

Implications:

  • Thoracic surgeons must be aware of factitious disorders to prevent unnecessary surgeries.

Related Experiment Videos

  • Early recognition and appropriate management can improve patient outcomes and avoid surgical complications.