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Órgano oficial de la Universidad Autónoma de Sinaloa

2024, Number 3

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Rev Med UAS 2024; 14 (3)

Valentino’s syndrome. A case report

Salinas-Alvarado SI, Ibarra de-la-Garza J, Castillo-Velasco JP, Alpízar-Cárdenas EA, López-Barradas AM

Language: Spanish
References: 10
Page: 242-247
PDF size: 456.35 Kb.


ABSTRACT

Background: Valentino syndrome occurs from perforation of a duodenal peptic ulcer. Fluid from the perforated ulcer travels through the paracolic canal to the right iliac fossa causing peritoneal irritation mimicking acute appendicitis.
Case report: 27-year-old male presenting with sudden abdominal pain, nausea, vomiting, acute abdominal symptoms, leukocytosis, neutrophilia and perforation. An initial diagnosis of acute appendicitis was made. Exploratory laparotomy was performed with the following findings: perforated duodenal ulcer of 0.5 x 0.5 cm in diameter and free purulent liquid in the cavity of approximately 400 ml. Treatment with primary closure and Graham technique, antibiotic, with adequate evolution and hospital discharge.
Conclusions: Valentino syndrome is a rare disease. It is important to consider it in the differential diagnosis of acute abdomen, es-pecially with data of perforation, since it is a pathology with high morbimortality.


REFERENCES

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