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.

Full Text

Duke Authors

Cited Authors

  • Serafin, D; Dimond, M; France, R

Published Date

  • July 1983

Published In

Volume / Issue

  • 72 / 1

Start / End Page

  • 81 - 89

PubMed ID

  • 6867181

International Standard Serial Number (ISSN)

  • 0032-1052


  • eng

Conference Location

  • United States