HEMATURIA as a presenting symptom of Munchausen syndrome is unusual. Ireland et al,1 in a review of all the reported cases of Munchausen syndrome, could only find four cases with hematuria. Several cases with hematuria have been reported since then,2-5 but we have found no cases previously reported in which the patient presented an actual renal stone that was supposedly passed. We have treated such a patient who exhibited factitious urinary tract infection, hematuria, and a number of stones that she "passed."
Report of a Case
A 37-year-old white woman was referred to Walter Reed General Hospital (WRGH) from a nearby Army Hospital because of frequent passage of kidney stones. She gave a history of bilateral stag-horn calculi requiring nephrotomies when she was 16 and 17 years old. Since then, she allegedly passed one or two stones a year until she had a nephrectomy for a nonfunctioning right
Atkinson RL, Earll JM. Munchausen Syndrome With Renal Stones. JAMA. 1974;230(1):89. doi:10.1001/jama.1974.03240010057034
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