Dergi Ara >>
Yıl:2010; Cilt: 17; Sayı: 1>> Özet
TAM METİN
Çocuk ve Gençlik Ruh Sağlığı Dergisi; 2010;17(1):33-38
Ürolitiazis Tanısı ile Başvuran Bir Olguda Munchausen Sendromu
M Türkmen, B Baykara, Y Çağan, A Soylu, B Kasap, S Kavukçu
Dokuz Eylül Üniv. Tıp Fak. İzmir
Munchausen Sendromu, gerçekte olmayan ve hasta tarafından tanımlanan belirtilerin, farklı sağlık
kurumlarına yapılan sık başvurular ve hastanın verdiği tutarsız öykü ile gözlendiği bir hastalıktır. Bu
olgu sunumunda böbrek taş hastalığı, yineleyen idrar yolu enfeksiyonu ve Ailesel Akdeniz Ateşi tanıları
alan Munchausen sendromlu bir olgu bildirilmiştir. Yan ağrısı ve taş düşürme öyküsü ile başvuran 12
yaşındaki kızın birçok merkezde farklı hekimler tarafından değerlendirildiği, çeşitli ilaçlar kullanıldığı,
fakat yakınmalarının devam ettiği öğrenildi. Hastanın düşürdüğü taşlar incelendiğinde, boyut ve şekillerinden
dolayı şüphe edilerek yapılan taş analizi böbrek taşı ile uyumlu gelmedi. Bu bulgular ile hastada
Munchausen Sendromu düşünüldü.
Munchausen Syndrome In a Patient who was Admitted with Diagnosis of Urolithiasis
Munchausen syndrome is a disease characterized by fictitious symptoms defined by the patient and
recurrent applications to health institutions with inconsistent medical history. This is a case report of a
patient with Munchausen syndrome who was followed up for urinary tract infection, nephrolithiasis and
Familial Mediterranean Fever. A 12- [year]-old girl was admitted with a history of flunk pain and passing
stones. The patient had been evaluated in many different medical centers by different doctors and had
been undergone various treatments and examinations, but her complaints were still continuing. When
her dropped calculi was examined and analyzed, they were not found consisted with urolithiasis. As a
result of these findings; patient was evaluated with child psychiatry. Munchausen syndrome was considered.

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