Next Article in Journal
Temporal and Spatial Variation in, and Population Exposure to, Summertime Ground-Level Ozone in Beijing
Previous Article in Journal
Health Impacts and Economic Costs of Air Pollution in the Metropolitan Area of Skopje
Open AccessCase Report

Recurrent Renal Colic in a Patient with Munchausen Syndrome

1
Pediatric Clinic, Azienda Ospedaliera di Terni, 05100 Terni, Italy
2
Pediatric Clinic, Università Tor Vergata, 00173 Rome, Italy
3
Unità Sanitaria Locale (USL) Umbria 2, 05100 Terni, Italy
4
Università degli Studi di Milano, 20122 Milan, Italy
5
Pediatric Clinic, Department of Surgical and Biomedical Sciences, Università degli Studi di Perugia, 06100 Perugia, Italy
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(4), 627; https://doi.org/10.3390/ijerph15040627
Received: 10 March 2018 / Revised: 21 March 2018 / Accepted: 24 March 2018 / Published: 29 March 2018
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
Background: In most of the cases regarding children, factitious disorders (FDs) are intentionally produced by parents. Less attention is paid to FDs in which a child or adolescent intentionally induces or falsifies the disease to attain a patient’s role. Case presentation: A 13-year-old immigrated and adopted boy previously underwent an operation for renal joint syndrome and was affected by recurrent episodes of renal colic. The boy was admitted reporting acute left flank pain with scars on the mucous face of his prepuce and had a recent previous hospitalization for the same reason. Laboratory tests and radiological findings did not reveal any morphological or functional alterations. Self-induced FD was suspected, and a psychiatric consultation was performed. After psychiatric consultation and remission of the symptoms with a placebo, a diagnosis of Munchausen syndrome was suspected. The patient’s uncle was not initially convinced of the diagnosis. Some videos clearly showed that the boy was handling his prepuce to excrete stones, explaining the scars. A therapeutic plan with psychiatrist support was later accepted with a positive outcome. No further signs and symptoms of renal colic were reported. Conclusions: It is recommended that paediatricians include FD in the differential diagnosis of a persistent and unexplained medical condition. If suspicion arises, confirmation and long-term therapy by a group of qualified specialists, including psychiatrists, should be planned. View Full-Text
Keywords: factitious disorders; Munchausen syndrome; psychiatric diseases; renal colic; renal stones factitious disorders; Munchausen syndrome; psychiatric diseases; renal colic; renal stones
Show Figures

Figure 1

MDPI and ACS Style

Miconi, F.; Rapaccini, V.; Savarese, E.; Cabiati, G.; Pasini, A.; Miconi, G.; Principi, N.; Esposito, S. Recurrent Renal Colic in a Patient with Munchausen Syndrome. Int. J. Environ. Res. Public Health 2018, 15, 627.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop