Psychogenic vomiting complicated by marijuana abuse and spontaneous pneumomediastinum

被引:22
作者
deMoore, GM [1 ]
Baker, J [1 ]
Bui, T [1 ]
机构
[1] WESTMEAD HOSP, DEPT GASTROENTEROL, WESTMEAD, NSW 2145, AUSTRALIA
关键词
D O I
10.3109/00048679609076108
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: This case illustrates an unusual physical sequel of psychogenic vomiting. Clinical picture: A 22-year-old man with a picture of psychogenic vomiting and marijuana use developed the complications of a pneumomediastinum and subcutaneous emphysema. Treatment: Therapy included gradual exposure to anxiety provoking stimuli, psychotropics to reduce vomiting and psychotherapeutic exploration of family relationships. Outcome: The patient's vomiting and physical state resolved without complication, Follow-up at 12 months revealed continued improvement with occasional less severe vomiting. Conclusions: Psychogenic vomiting as a manifestation of anxiety can result in serious physical and psychological sequelae. This patient's desperate attempts to control such vomiting complicated the picture, Successful short term intervention included the use of several treatment modalities.
引用
收藏
页码:290 / 294
页数:5
相关论文
共 17 条
[1]  
ALBONICK I, 1991, CHEST, V100, P93
[2]   CYCLICAL VOMITING WITH PNEUMOMEDIASTINUM [J].
BULLIMORE, DW ;
COOKE, D .
ACTA PAEDIATRICA SCANDINAVICA, 1982, 71 (04) :675-676
[3]   RECURRENT IDIOPATHIC PNEUMOMEDIASTINUM [J].
CHANNER, KS ;
ROBERTS, CJC ;
JEYASINGHAM, K .
POSTGRADUATE MEDICAL JOURNAL, 1985, 61 (722) :1073-1075
[4]  
HAGGERTY JJ, 1982, PSYCHOSOMATICS, V23, P91
[5]   PSYCHOGENIC VOMITING [J].
HILL, OW .
GUT, 1968, 9 (03) :348-&
[6]   PSYCHOGENIC VOMITING - PSYCHOTHERAPEUTIC CONSIDERATIONS [J].
LEIBOVICH, MA .
PSYCHOTHERAPY AND PSYCHOSOMATICS, 1973, 22 (2-6) :263-268
[7]   Diagnostic and Statistical Manual of Mental Disorders [J].
Mittal, Vijay A. ;
Walker, Elaine F. .
PSYCHIATRY RESEARCH, 2011, 189 (01) :158-159
[8]   PSYCHOGENIC VOMITING - THE RELATION BETWEEN PATTERNS OF VOMITING AND PSYCHIATRIC DIAGNOSES [J].
MURAOKA, M ;
MINE, K ;
MATSUMOTO, K ;
NAKAI, Y ;
NAKAGAWA, T .
GUT, 1990, 31 (05) :526-528
[9]   SPONTANEOUS PNEUMOMEDIASTINUM - CLINICAL AND NATURAL-HISTORY [J].
PANACEK, EA ;
SINGER, AJ ;
SHERMAN, BW ;
PRESCOTT, A ;
RUTHERFORD, WF .
ANNALS OF EMERGENCY MEDICINE, 1992, 21 (10) :1222-1227
[10]  
ROSENTHAL RH, 1980, PSYCHOSOMATICS, V21, P722