皮下肢体气肿揭示的孟乔森综合征：一例报告
Munchausen syndrome revealed by subcutaneous limb emphysema: a case report.
作者信息
Koufagued Kaldadak, Chafry Bouchaib, Benyass Youssef, Abissegue Yves, Benchebba Driss, Bouabid Salim, Belkacem Chagar
机构信息
Department of Orthopedic Trauma, Mohamed V Military Hospital, University Mohamed V- souissi Rabat Morocco, S/C ERSSM BP 1044, Rabat Océan, Morocco.
出版信息
J Med Case Rep. 2015 Aug 18;9:172. doi: 10.1186/s13256-015-0649-x.
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.
引言
孟乔森综合征继发肢体皮下气肿是一种罕见且严重的病症，因为它关乎肢体的功能预后以及患者的生命预后。
病例介绍
我们报告一例18岁摩洛哥女性患者，她因自身原因导致肩胛带和右臂皮下气肿而前来我院就诊。治疗措施积极，包括广泛的手术清创、肠外抗生素治疗和高压氧治疗。结果良好。
结论
在本病例中，既往史数据与临床及辅助检查结果的关联对于孟乔森综合征的诊断至关重要。就此，我们报告一例罕见的孟乔森综合征继发肢体皮下气肿病例。
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