Global Journal of Surgery
ISSN (Print): 2379-8742 ISSN (Online): 2379-8750 Website: https://www.sciepub.com/journal/js Editor-in-chief: Baki Topal
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Global Journal of Surgery. 2024, 12(1), 1-3
DOI: 10.12691/js-12-1-1
Open AccessCase Report

Valentino Syndrome: Perforated Peptic Ulcer Masquerading as Acute Appendicitis

Karina Castillo1, , Katty Coronel2 and Jenny Coronel3

1General Surgery Service, Guayaquil Specialty Hospital Dr. Abel Gilbert Pontón. Guayaquil, Ecuador

2General Surgery Service, Luis Vernaza Hospital. Guayaquil, Ecuador

3Intensive Medicine Service, Guayaquil Specialty Hospital Dr. Abel Gilbert Pontón. Guayaquil, Ecuador

Pub. Date: January 24, 2024

Cite this paper:
Karina Castillo, Katty Coronel and Jenny Coronel. Valentino Syndrome: Perforated Peptic Ulcer Masquerading as Acute Appendicitis. Global Journal of Surgery. 2024; 12(1):1-3. doi: 10.12691/js-12-1-1

Abstract

Abdominal pain is a common symptom in gastrointestinal diseases. It occurs through different mechanisms and its location usually guides us in making differential diagnoses. Valentino syndrome is a pathology that presents with atypical symptoms that simulate acute appendicitis. We present the case of a 30-year-old male patient presented with pain in the right iliac fossa. Given the clinical suspicion of acute appendicitis and the laboratory and imaging findings, exploratory laparotomy was performed. Since no inflammatory changes were evident in the appendix, it was decided to perform a thorough abdominal examination, and an important finding was a gastric perforation, where the gastric and duodenal fluids traveled through the paracolic gutter, being located in the right lower quadrant and causing focal peritonitis.This syndrome, given its genesis and inadequate management, should be given special importance and maintained as a differential diagnosis due to the considerable mortality it entails.

Keywords:
abdominal pain acute abdomen appendicitis peptic ulcer Valentino syndrome.

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