Marzuillo Pierluigi, Marotta Rosaria, Apicella Andrea, Guarino Stefano, Esposito Tiziana, Della Vecchia Nicoletta, Diplomatico Mario, Polito Cesare, Perrone Laura, La Manna Angela
Department of Woman, Child and General and Specialized Surgery, Seconda Università degli Studi di Napoli, Via L. De Crecchio n° 2, 80138, Napoli, Italy.
Int J Adolesc Med Health. 2016 Aug 5;30(2):/j/ijamh.2018.30.issue-2/ijamh-2016-0039/ijamh-2016-0039.xml. doi: 10.1515/ijamh-2016-0039.
Factitious disorders are characterized by physical or psychological symptoms that are intentionally produced or feigned in order to assume the sick role. "Munchausen's syndrome" is one of these disorders and often is under-recognized or only suspected after unnecessary investigations. We report the case of a 15-year-old boy who came to our notice because of reduced urine output and recurrent abdominal pain during the previous 3 months. The patient attended several emergency room visits and he had been hospitalized for 1 month in an adult internal medicine department because of "oliguria". He had undergone several invasive investigations with normal results before the diagnosis of Munchausen's syndrome was made. General pediatricians and practitioners should be aware that suspecting Munchausen's syndrome in the first instance in the management of a patient showing discrepancies between reported urinary symptoms and the detectable clinical signs could avoid unnecessary and invasive exams.
做作性障碍的特征是为了扮演患者角色而故意制造或伪装的身体或心理症状。“孟乔森综合征”就是其中一种障碍，常常未被充分认识，或者在进行了不必要的检查后才被怀疑。我们报告一例15岁男孩的病例，他因前3个月尿量减少和反复腹痛而引起我们的注意。该患者多次前往急诊室就诊，并因“少尿”在成人内科住院1个月。在诊断为孟乔森综合征之前，他接受了多项侵入性检查，结果均正常。普通儿科医生和从业者应意识到，在处理报告的泌尿系统症状与可检测到的临床体征不符的患者时，首先怀疑孟乔森综合征可以避免不必要的侵入性检查。
