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Related Experiment Video

Updated: May 31, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
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Munchausen'S syndrome by proxy: a case report.

R Kumar1, A Cherian

  • 1Rajeev Kumar, MD, DPM, Medical Officer, Department of Psychiatry, Christian Medical College, Vellore - 632 002.

Indian Journal of Psychiatry
|July 12, 2011
PubMed
Summary

A child

Area of Science:

  • Pediatric Gastroenterology
  • Child Psychology

Background:

  • Recurrent rectal bleeding in children can mimic serious gastrointestinal or hematologic conditions.
  • Extensive investigations are often performed to rule out organic causes of rectal bleeding.

Purpose of the Study:

  • To highlight a rare case of factitious disorder presenting as recurrent rectal bleeding in a pediatric patient.
  • To emphasize the importance of psychiatric evaluation in unexplained pediatric conditions.

Main Methods:

  • Case report detailing a two-year-old male with a two-month history of rectal bleeding.
  • Review of prior extensive investigations for gastrointestinal and bleeding disorders.
  • Psychiatric interview with the mother revealing self-induced rectal bleeding.
Keywords:
Munchausen's syndromechild abuse

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Main Results:

  • All organic gastrointestinal and bleeding disorders were ruled out through comprehensive testing.
  • The mother confessed to inducing rectal bleeding by injuring the child's rectal mucosa.

Conclusions:

  • Factitious disorder imposed on another (previously called Munchausen by proxy) should be considered in cases of unexplained recurrent rectal bleeding.
  • Early psychiatric assessment is crucial for accurate diagnosis and management of such pediatric cases.