Abstract
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.
References
- 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.
Abstract
References
- 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.
Details
| Primary Language | English |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | Case Report |
| Authors | |
| Publication Date | December 30, 2018 |
| Submission Date | January 8, 208 |
| Published in Issue | Year 2018 Volume: 12 Issue: 4 |
The publication language of Turkish Journal of Pediatric Disease is English.
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