Factitious disorder: a rare cause of haematemesis
| Autor: | Ben Disney, Michael McFarlane, Jayne Eaden, Nicola Burch |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
GI bleeding Young Adult 03 medical and health sciences 0302 clinical medicine Internal medicine Catheterization Peripheral medicine Humans Upper gastrointestinal 030212 general & internal medicine Young female medicine.diagnostic_test business.industry General surgery Gastroenterology Hematemesis General Medicine Hepatology medicine.disease Factitious disorder Colorectal surgery Endoscopy Surgery Factitious Disorders Female 030211 gastroenterology & hepatology business Abdominal surgery |
| Zdroj: | Clinical Journal of Gastroenterology. 10:447-451 |
| ISSN: | 1865-7265 1865-7257 |
| Popis: | Acute upper gastrointestinal (GI) bleeding is a common condition in the UK with 50-70,000 admissions per year. In 20% of cases no cause can be found on endoscopy. Here, we present the case of a young female patient who was admitted on three occasions with large volume haematemesis and bleeding from other sites. She was extensively investigated and underwent multiple endoscopic procedures. She was eventually diagnosed with factitious disorder after concerns were raised about the inconsistent nature of her presentations. She was found to be venesecting herself from her intravenous cannula, and ingesting the blood to simulate upper GI bleeding. This is a rare cause of 'haematemesis' but perhaps not as rare as is thought. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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