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.
Birincil Dil | İngilizce |
---|---|
Konular | İç Hastalıkları |
Bölüm | Case Report |
Yazarlar | |
Yayımlanma Tarihi | 30 Aralık 2018 |
Gönderilme Tarihi | 8 Ocak 208 |
Yayımlandığı Sayı | Yıl 2018 Cilt: 12 Sayı: 4 |