Factitious vesicocutaneous fistula: an enigma in diagnosis and treatment.
Journal Article (Journal Article)
A case report of a patient with a recurrent factitial vesicocutaneous and a tensor fasciae latae musculocutaneous flap were employed in reconstruction. Difficulty in diagnosis and treatment of this patient with factitial disease is emphasized. Excessive hospitalization and cost reflect these difficulties. A life-threatening disease was modified by planned reconstruction coordinated with antidepressant medication and psychotherapy. Treatment centered on avoiding insight and maintaining denial ASA defense mechanism. The transference of self-mutilation in the suprapubic region to the donor thigh was most important in this patient's survival.
- Serafin, D; Dimond, M; France, R
- July 1983
Volume / Issue
- 72 / 1
Start / End Page
- 81 - 89
International Standard Serial Number (ISSN)
- United States