Sestre Milosrdnice University hospital and Institute of Clinical Medical Research
Abstract
Pseudocyesis is a disorder that is rarely encountered in psychiatric practice. It is characterized by numerous signs and symptoms of pregnancy, except for confirmation of the presence of a fetus. The aim of this article is to present a patient with pseudocyesis. A 24-year-old woman, married, childless, was admitted to gynecology emergency clinic for metrorrhagia, after delivery that had allegedly occurred earlier that day. Gynecologic examination showed neither pregnancy nor postpartum state, therefore consultant psychiatrist was included in patient examination. Upon interview with the patient and her family, and in agreement with gynecologists, the diagnosis of pseudocyesis (undifferentiated somatoform disorder, according to ICD 10 criteria) was made, and the patient who was acutely restless, tearful, occasionally agitated, exhibiting referential ideas, was hospitalized at psychiatry department for treatment. The need of team work of gynecologists and psychiatrists in the treatment of patients suffering from pseudocyesis is emphasized.Pseudocieza je danas rijetko stanje koje se susreće u psihijatrijskoj praksi, a obilježeno je brojnim znakovima i simptomima trudnoće osim potvrde o prisutnosti ploda. Cilj ovoga rada je prikazati slučaj bolesnice s pseudociezom. Bolesnica u dobi od 24 godine, udana, bez djece, primljena je u hitnu ginekološku ambulantu zbog metroragije, navodno nakon obavljenog poroda toga dana. Ginekološkim se pregledom nije utvrdilo postojanje eventualne trudnoće ili stanja nakon poroda, pa je konzilijarno pozvan psihijatar. Nakon razgovora s bolesnicom i njezinom obitelji, te u dogovoru s ginekolozima postavljena je dijagnoza pseudocieze (nediferencirani somatoformni poremećaj, prema ICD 10 kriterijima) te je bolesnica, koja je bila akutno uznemirena, plačljiva, na trenutke agitirana, s idejama odnosa, primljena na daljnje liječenje na psihijatrijsku kliniku. Naglašena je potreba timskog rada ginekologa i psihijatara u liječenju bolesnica koje boluju od pseudocieze
