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.
Subject(s)
Arm Injuries , Munchausen Syndrome/diagnosis , Subcutaneous Emphysema/etiology , Adolescent , Anti-Bacterial Agents/therapeutic use , Debridement , Female , Foreign Bodies/diagnostic imaging , Humans , Hyperbaric Oxygenation , Self-Injurious Behavior , Shoulder Joint/diagnostic imaging , Subcutaneous Emphysema/diagnostic imaging , Subcutaneous Emphysema/therapy , Tomography, X-Ray Computed , Wounds, Penetrating/complicationsABSTRACT
Hibernoma is a rare benign adypocyte tumour of brown fat. We report on 4 patients with hibernoma of the thigh. Clinical features and magnetic resonance imaging suggested the tumours were liposarcomas, but biopsy yielded the diagnosis of hibernoma. All 4 patients underwent complete excision of the tumour and had no recurrence.
