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Munchausen syndrome revealed by subcutaneous limb emphysema: a case report
Kaldadak Koufagued1, Bouchaib Chafry2, Youssef Benyass3
1Department of Orthopedic Trauma, Mohamed V Military Hospital, University Mohamed V- souissi Rabat Morocco, S/C ERSSM BP 1044, Rabat Océan, Morocco. kaldadakk@yahoo.fr.
Introduction:
Limb subcutaneous emphysema secondary to a Munchausen syndrome represents a rare and severe entity because it involves the functional prognosis of the limb and vital prognosis of the patient.
Case Presentation:
We report the case of an 18-year-old Moroccan woman patient who presented to our hospital with a subcutaneous emphysema of the shoulder girdle and the right arm, caused by our patient. Treatment was aggressive, with a wide surgical debridement, parenteral antibiotic therapy and hyperbaric oxygen therapy. The results have been favorable.
Conclusions:
The correlation of anamnestic data and clinical and para-clinical exams were essential for the diagnosis of Munchausen syndrome in this case. In this regard, we report a rare case of subcutaneous limb emphysema secondary to Munchausen syndrome.
