Situation 15
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A Female patient, complaining of
gradual progressive abdominal enlargement, with abdominal discomfort, so
she sought medical advice for several years with no improvement. She had
full investigations without significant findings. Also she had undergone
several interventions including surgical operations with no benefits at
all.
Clinical examination on presentation to us revealed no significant
findings apart from this view ( see the photo).
Detailed history revealed that the patient is under severe psychological
stress so we considered her as a case of "psychogenic abdominal
enlargement". The patient gave a good response to supportive therapy.
The cornerstone of this therapy was the explanation for the patient the
nature of her problems (change of her perception to her complaints).
We can call it as: (Sad Abdomen)
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