[Factitious Disorder in Obstetrics: Case Report].

Area of Science:

• Psychiatry
• Obstetrics & Gynecology
• Medical Psychology

Context:

• Factitious disorder, specifically Munchausen's syndrome, typically presents with physical symptoms.
• Clinical presentation of factitious disorder during pregnancy is infrequently documented in medical literature.

Purpose:

• To report a rare case of factitious disorder manifesting during pregnancy.
• To highlight the diagnostic challenges and management complexities associated with this condition in pregnant patients.

Summary:

• A pregnant patient presented with recurrent emesis and abdominal pain, leading to extensive differential diagnoses including porphyria and esophageal spasm.
• Despite thorough investigation, organic causes were ruled out, and the patient's desire for pregnancy termination was noted.
• A medical panel recommended termination due to combined organic and mental health risks.

Impact:

• This case underscores the difficulty in diagnosing factitious disorders, especially in pregnant individuals.
• Emphasizes the need for increased clinician awareness and education regarding factitious disorders for timely and appropriate patient care.
• Highlights the importance of a multidisciplinary approach in managing complex cases involving both maternal health and mental well-being.