Year 2018, Volume 12 , Issue 4, Pages 287 - 288 2018-12-30

Valentino’s Syndrome in a Child: Perforated Peptic Ulcer Mimicking Acute Appendicitis

Zeliha AKIŞ YILDIZ [1]


The most common cause of acute abdomen in children is appendicitis. However, in cases when the appendix is

observed normally during surgery, other surgical causes should be considered. Rarely, in the differential diagnosis

of right lower quadrant (RLQ) pain, gastric or duodenal ulcer perforation, defined as Valentino Syndrome, should be

considered and evaluated for possible pathology. In this case report, we aimed to discuss a case of unusual gastric

perforation that presented with symptoms and signs suggestive of appendicitis. Free air was not identified on plain

abdominal x-ray, and also no specific finding was found on ultrasonography. The appendix was normal during surgery.

There was plenty of serous fluid in the right lower quadrant. When fibrin was observed in upper quadrants, the incision

was expanded and it turned out to be a gastric perforation and was repaired. In cases with peritonitis findings in the

examination of the abdomen, even though the appendix is normal, it is very important to evaluate all intraabdominal

organs in terms of other diagnoses.

Gastric perforation, Pediatric acute abdomen
  • 1. Yu J, Fulcher AS, Turner MA, Halvorsen RA. Helical CT evaluation of acute right lower quadrant pain: part I, common mimics of appendicitis. AJR Am J Roentgenol 2005;184: 1136–42.
  • 2. Wijegoonewaredene SI, Stein J, Cooke D, Tien A. Valentino’s syndrome a perforated peptic ulcer mimicking acute appendicitis. BMJ Case Rep 2012; 2012.
  • 3. Valentino loses battle with death: Greatest of screen lovers fought valiantly for life. Plattsburgh Sentinel 1926;1.
  • 4. Ramírez-Ramírez MM, Villanueva-Saenz E. Valentino’s syndrome. Perforated peptic ulcer with unusual clinical presentation. Rev Gastroenterol Mex 2016;81:225-6.
  • 5. Hussain K, Munir A, Wahla MS, Masood J. Valentino’s syndrome: Perforated peptic ulcer mimicking acute appendicitis managed through rutherford morrison incision. J Coll Physicians Surg Pak 2016;26:727-8.
  • 6. Amann C, Austin A, Rudinsky S. Valentino’s syndrome: A lifethreatening mimic of acute appendicitis. Clin Pract Cases Emerg Med 2016;1: 44-6.
Primary Language en
Subjects General and Internal Medicine
Journal Section Case Report
Authors

Author: Zeliha AKIŞ YILDIZ (Primary Author)

Dates

Publication Date : December 30, 2018

Bibtex @case report { tchd551698, journal = {Türkiye Çocuk Hastalıkları Dergisi}, issn = {1307-4490}, eissn = {2148-3566}, address = {Şehit Ömer Halisdemir Cad. Kurtdereli Sok. No:10 ANKARA}, publisher = {Sağlık Bilimleri Üniversitesi}, year = {2018}, volume = {12}, pages = {287 - 288}, doi = {10.12956/tjpd.2018.346}, title = {Valentino’s Syndrome in a Child: Perforated Peptic Ulcer Mimicking Acute Appendicitis}, key = {cite}, author = {AKIŞ YILDIZ, Zeliha} }
APA AKIŞ YILDIZ, Z . (2018). Valentino’s Syndrome in a Child: Perforated Peptic Ulcer Mimicking Acute Appendicitis. Türkiye Çocuk Hastalıkları Dergisi , 12 (4) , 287-288 . DOI: 10.12956/tjpd.2018.346
MLA AKIŞ YILDIZ, Z . "Valentino’s Syndrome in a Child: Perforated Peptic Ulcer Mimicking Acute Appendicitis". Türkiye Çocuk Hastalıkları Dergisi 12 (2018 ): 287-288 <https://dergipark.org.tr/en/pub/tchd/issue/44483/551698>
Chicago AKIŞ YILDIZ, Z . "Valentino’s Syndrome in a Child: Perforated Peptic Ulcer Mimicking Acute Appendicitis". Türkiye Çocuk Hastalıkları Dergisi 12 (2018 ): 287-288
RIS TY - JOUR T1 - Valentino’s Syndrome in a Child: Perforated Peptic Ulcer Mimicking Acute Appendicitis AU - Zeliha AKIŞ YILDIZ Y1 - 2018 PY - 2018 N1 - doi: 10.12956/tjpd.2018.346 DO - 10.12956/tjpd.2018.346 T2 - Türkiye Çocuk Hastalıkları Dergisi JF - Journal JO - JOR SP - 287 EP - 288 VL - 12 IS - 4 SN - 1307-4490-2148-3566 M3 - doi: 10.12956/tjpd.2018.346 UR - https://doi.org/10.12956/tjpd.2018.346 Y2 - 2019 ER -
EndNote %0 Türkiye Çocuk Hastalıkları Dergisi Valentino’s Syndrome in a Child: Perforated Peptic Ulcer Mimicking Acute Appendicitis %A Zeliha AKIŞ YILDIZ %T Valentino’s Syndrome in a Child: Perforated Peptic Ulcer Mimicking Acute Appendicitis %D 2018 %J Türkiye Çocuk Hastalıkları Dergisi %P 1307-4490-2148-3566 %V 12 %N 4 %R doi: 10.12956/tjpd.2018.346 %U 10.12956/tjpd.2018.346
ISNAD AKIŞ YILDIZ, Zeliha . "Valentino’s Syndrome in a Child: Perforated Peptic Ulcer Mimicking Acute Appendicitis". Türkiye Çocuk Hastalıkları Dergisi 12 / 4 (December 2019): 287-288 . https://doi.org/10.12956/tjpd.2018.346
AMA AKIŞ YILDIZ Z . Valentino’s Syndrome in a Child: Perforated Peptic Ulcer Mimicking Acute Appendicitis. Türkiye Çocuk Hast Derg. 2018; 12(4): 287-288.
Vancouver AKIŞ YILDIZ Z . Valentino’s Syndrome in a Child: Perforated Peptic Ulcer Mimicking Acute Appendicitis. Türkiye Çocuk Hastalıkları Dergisi. 2018; 12(4): 288-287.