How to Kill a Flap: Munchausen Syndrome — A Silent Trap for Plastic Surgeons

Keywords

Munchausen syndrome - Factitious disorder - Flap necrosis - Perforator flap - Upper extremity reconstruction

• References

• 1 American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders. 4th edn American Psychiatric Association, Washington; 1994: 471-472
• 2 Lad SP, Jobe KW, Polley J et al Munchausen’s syndrome in neurosurgery: report of two cases and review of the literature. Neurosurgery 2004; 55: e1459-e1462
• 3 Eisendrath SJ, Telischak KS. Factitious disorders: potential litigation risks for plastic surgeons. Ann Plast Surg 2008; 60: 64-69
• 4 Okuniewska A, Walczuk BI, Czubek M et al Recurrent deep ulcers resembling rare cancers as a form of factitious disorder. Acta Dermato-Venereologica 2011; 91: 341-342
• 5 Livaoglu M, Kerimoglu S, Hocaoglu C et al Munchausen’s syndrome: a rare self-mutilation syndrome. Dermatol Surg 2008; 34: 1288-1291
• 6 Wallace PF, Fitzmorris CS. The S-H-A-F-T syndrome in the upper extremity. J Hand Surg [Am] 1978; 3: 492-494
• 7 Kasdan ML, Soergel TM, Johnson AL et al Expanded profile of the SHAFT syndrome. J Hand Surg [Am] 1998; 23: 26-31
• 8 Kasdan ML, Stutts JT. Factitious injuries of the upper extremity. J Hand Surg [Am] 1995; 20: S57-S60