TY - JOUR
T1 - Valentino's syndrome
T2 - Simulation of acute appendicitis in the context of peptic ulcer perforation. Case report and literature review
AU - Villamil-Angulo, Carlos José
AU - Pérez Calvo, Daniela
AU - Villamil Castro, Nathalia Andrea
AU - Rey Chaves, Carlos Eduardo
AU - Conde, Danny
N1 - Copyright © 2023 The Author(s). Published by Elsevier Ltd.. All rights reserved.
PY - 2023/4
Y1 - 2023/4
N2 - Introduction and importance: Abdominal pain (AP) is one of the main reasons for consultation in the emergency department worldwide. The causes of AP are gathered in a broad group of pathologies whose incidence and prevalence vary according to various factors. The great importance of an adequate approach to AP lies in ruling out or confirming the presence of acute abdomen that requires emergency surgical management. Valentino's Syndrome (VS) simulates the clinical manifestations of acute appendicitis whose origin is the perforation of a peptic ulcer. This is an infrequent entity, with very few reports in the literature, this being the second case reported in Colombia. Case presentation: We present a case of VS in a 59-year-old male patient who was admitted to the emergency department with 3 days of pain in the right iliac fossa that met the diagnostic criteria for acute appendicitis. However, upon surgical exploration, it was determined that the cause was secondary to peptic ulcer perforation (PPU). Discussion: PPU is one of the most infrequent complications of the disease, occurring in close to 10 % of cases, and is considered a surgical emergency. Minimally invasive surgery provides a significant benefit over open surgery, outcomes that directly lead to decreased healthcare costs and increased patient satisfaction. Conclusion: PPU represents a diagnostic challenge due to the variability of the symptoms and clinical features. Laparoscopic approach fulfills diagnostic and therapeutic roles with lesser morbidity and mortality rates, which is why it should be standardized. Malignancy should be ruled out in all cases.
AB - Introduction and importance: Abdominal pain (AP) is one of the main reasons for consultation in the emergency department worldwide. The causes of AP are gathered in a broad group of pathologies whose incidence and prevalence vary according to various factors. The great importance of an adequate approach to AP lies in ruling out or confirming the presence of acute abdomen that requires emergency surgical management. Valentino's Syndrome (VS) simulates the clinical manifestations of acute appendicitis whose origin is the perforation of a peptic ulcer. This is an infrequent entity, with very few reports in the literature, this being the second case reported in Colombia. Case presentation: We present a case of VS in a 59-year-old male patient who was admitted to the emergency department with 3 days of pain in the right iliac fossa that met the diagnostic criteria for acute appendicitis. However, upon surgical exploration, it was determined that the cause was secondary to peptic ulcer perforation (PPU). Discussion: PPU is one of the most infrequent complications of the disease, occurring in close to 10 % of cases, and is considered a surgical emergency. Minimally invasive surgery provides a significant benefit over open surgery, outcomes that directly lead to decreased healthcare costs and increased patient satisfaction. Conclusion: PPU represents a diagnostic challenge due to the variability of the symptoms and clinical features. Laparoscopic approach fulfills diagnostic and therapeutic roles with lesser morbidity and mortality rates, which is why it should be standardized. Malignancy should be ruled out in all cases.
KW - Acute abdomen
KW - Appendicitis
KW - Laparoscopy
KW - Peptic ulcer
KW - Surgery
KW - Valentino's syndrome
UR - http://www.scopus.com/inward/record.url?scp=85151273859&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/6187f7b7-9939-34d0-b3a3-253ea022c276/
U2 - 10.1016/j.ijscr.2023.108064
DO - 10.1016/j.ijscr.2023.108064
M3 - Artículo
C2 - 37004454
AN - SCOPUS:85151273859
SN - 2210-2612
VL - 105
SP - 108064
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
M1 - 108064
ER -