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Case Reports in Medicine
Volume 2009, Article ID 103265, 3 pages
Case Report

Factitious Disorders and Cardiothoracic Surgery: The Ongoing Multidisciplinary Challenges of a Complex Case

1Division of Cardiothoracic Surgery, The Ohio State University Medical Center, Columbus, OH 43210, USA
2Department of Psychiatry, The Ohio State University Medical Center, Columbus, OH 43210, USA

Received 18 August 2009; Accepted 12 November 2009

Academic Editor: Tomas A. Salerno

Copyright © 2009 Michael S. Firstenberg et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Chronic factitious disorder, Munchausen's syndrome, can be challenging to manage—particularly when complaints and symptoms suggest medical or surgical emergencies. We present a patient whose problems have spanned many years and a great distance. Hopefully, with a greater awareness of this disease, as this patient continues to seek health care in many different hospitals, the implications of timely access to information, good histories and physical exams, and an index of suspicion can assist in potentially avoiding unnecessary, expensive, and invasive evaluations.