When Bloody Vomit Hides a Deeper Issue: A case series of Factitious Disorders with Hematemesis in Children.

Abstract

Factitious disorder presenting as hematemesis (FDH) is a rare condition in pediatric population. Diagnosis and management in such cases is complex and often delayed due to unnecessary investigations leading to waste of useful resources. We present a case series of eleven children with bloody vomitus/vomitus simulating blood. There is a pattern of recurrent medical visits, hospitalizations, and invasive procedures without a medical cause. FDH should be considered as one of the differential diagnoses of hematemesis in children with unknown cause. A detailed history taking is the key to diagnosis. Early recognition and a multidisciplinary approach are essential to ensure appropriate management and prevent unnecessary medical interventions