False Pregnancy (Pseudocyesis): A Rare Case Report of a Non Fertile Indian Women

Abstract

The objective of this article is to present a patient with pseudocyesis. A 46 years, Hindu, married, literate, nonfertile woman of middle socioeconomic status, from urban part of Tripura, India, was the Gynaecology & Obstetrics Out Patient Department (OPD) of Agartala Govt Medical College, India for antenatal checkup with the complaints of amenorrhea for 34 weeks, distended abdomen, loss of appetite, nausea, vomiting, weight gain, and breast engorgement. The women felt fetal movement in last five months.

Gynecologic examination showed neither pregnancy nor postpartum state. Urine for pregnancy test was negative. Laboratory findings including complete haemogram, blood glucose, creatinine, urea, lipid profile, uric acid, electrolytes, liver function tests, urinary routine examination, pituitary hormones, thyroid profile, testosterone, oestrogen, and progesterone all were within normal level. Ultrasonography of whole abdomen was normal. After that, she was consulted Gastroenterologist for the frequent nausea, vomiting, and abdominal distention. Subsequently she was referred to Department of Psychiatry, AGMC & GBP Hospital, Agartala, Tripura. After detailed history and mental status examination 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. She was managed with supportive psychotherapy & tablet clonazepam 0.5 mg twice daily for two weeks.