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Updated: Jul 13, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
[Abdominal wall necrosis as expression of Munchausen's syndrome: a case report]
C Dechanet1, O Dubon, N El Gareh
1Unité de chirurgie oncologique et mammaire, hôpital Arnaud-de-Villeneuve, 371, rue du Doyen-Gaston-Giraud, 34295 Montpellier cedex 05, France.
Abstract:
Münchausen's syndrome is a psychiatric disease with behaviour disorders including self-injuries. Self mutilations interest all the body, and among others the abdominal wall, who can mimic complications of surgery. We report the history of a woman consulting for an abdominal wall panniculitis two years after a caesarean. Medical history, histological patterns and the psychological history of the patient excluded the diagnosis of a surgical complication and Münchausen's syndrome was strongly evocated. The treatment was surgical, with excision of the cutaneous necrosis. The healing was obtained by treatment with Vacuum Assisted Closure System (VAC).
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