Emergency Department UZ Brussel, Brussels, Belgium.
World J Emerg Surg. 2009 Nov 12;4:38. doi: 10.1186/1749-7922-4-38.
Munchausen syndrome is a rare psychiatric disorder in which patients inflict on themselves an illness or injury for the primary purpose of assuming the sick role. Because these patients can present with many different complaints and clinical symptoms, diagnosis is often made at a later stage of hospitalisation. In contrast we report a case of a 40-year old woman very easy to diagnose with Munchausen syndrome.This trained nurse presented at our emergency department (ED) complaining of abdominal pain. Interviewed by the medical trainee, she immediately confessed having put a knitting needle into her urethra four days earlier. She was not able to remove it anymore because it was beyond her reach. Abdominal X-ray confirmed the presence of the needle and a median laparotomy was performed to remove it. The diagnosis of Munchausen syndrome seemed immediately obvious in this case.
孟乔森综合征是一种罕见的精神障碍，患者为了扮演病人的角色而故意使自己患病或受伤。由于这些患者可能出现许多不同的症状和临床症状，因此诊断通常在住院的后期进行。相比之下，我们报告了一例非常容易诊断为孟乔森综合征的 40 岁女性。这位受过训练的护士因腹痛到我们的急诊部（ED）就诊。在接受实习医生的询问时，她立即承认四天前将一根编织针插入了尿道。她再也无法取出它了，因为它超出了她的触及范围。腹部 X 光片证实了针的存在，并进行了正中剖腹手术以将其取出。在这种情况下，孟乔森综合征的诊断似乎立即变得明显。
