Global Journal of Surgery. 2024, 12(1), 1-3
DOI: 10.12691/js-12-1-1
Open AccessCase Report
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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References:
[1] | Artigas, O. Abdominal pain in the emergency room. Comprehensive Med. 2002, 40(9): 379-85. |
|
[2] | Fretes D, Martínez A, Fernández U, Benítez M, Cardozo R. Valentino syndrome. Perforated peptic ulcer. Cir. Parag. 2018; 42(3): 40-41. |
|
[3] | Santafe-Guerrero M, Cabrera-Vargas L, Aparicio-Blanco B, Pérez-Rivera C, Pedraza-Ciro M, Valentino syndrome, current management of a forgotten disease. Annals of Mediterranean Surgery. 2021; 4(2): 03-09. |
|
[4] | López-Beltrán J, Orbea-Marcial Víctor, Cadena-Garcés Gabriela, Villagrán-Morales S, Pozo-Espín D. Rev UNIANDES Health Sciences. 2021; 4(1): 637-662. |
|
[5] | Arumugam B, Giridharan B, RP, P S. Syndrome Valentino From a De Novo Aetiology – Acute Pancreatitis. Cureus. 2022; 14(1): 02-06. |
|
[6] | Mahajan PS, Abdulmalek H, Aljafari A, Kolleri J, Dawsi S, Mohammed H. A Cautionary Tale: Unveiling Valentino's Syndrome. 2022; Cureus 14(2): 02-09. |
|
[7] | Veintimilla-Hurtado J, Rivas-Ullaguari A, Quito-Becerra A, Patiño-Cuenca V, Castillo-Andrade Y. Valentino syndrome: a rare cause of acute abdomen. Report of a case. HJCA Medical Journal. 2020; 2(3): 231-35. |
|