Citation

Koufagued K, Chafry B, Benyass Y, Abissegue Y, Benchebba D, Bouabid S, Belkacem C. J. Med. Case Reports 2015; 9(1): 172.

Affiliation

Department of Orthopedic Trauma, Mohamed V Military Hospital, University Mohamed V- souissi Rabat Morocco, S/C ERSSM BP 1044, Rabat Océan, Morocco. chagarkacem@yahoo.fr.

Copyright

(Copyright © 2015, Holtzbrinck Springer Nature Publishing Group - BMC)

DOI

10.1186/s13256-015-0649-x

PMID

26282124

PMCID

PMC4539713

Abstract

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.

Language: en