Abstract:
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. 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. 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.
Koufagued, Chafry, Benyass, Abissegue, Benchebba, Bouabid, Belkacem, , (2015). Munchausen syndrome revealed by subcutaneous limb emphysema: a case report. Journal of medical case reports, 2015 Aug;9():172. https://www.ncbi.nlm.nih.gov/pubmed/26282124