"Munchausen by proxy" syndrome in a small bowel transplant recipient

Munchausen by Proxy is potentially one of the most harmful forms of child abuse with a reported mortality rate of nearly 10% and may be a secondary cause of chronic intestinal pseudo-obstruction. If MBP is suspected, prompt action should be taken to separate the mother and child to determine if the symptoms are legitimate or fabricated. Successful treatment depends on the collaboration between disciplines and cooperation of all staff members. It is important that MBP be ruled out in cases of CIP when these children are evaluated for transplant to prevent needless morbidity.