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Valentino's syndrome: a bizarre clinical presentation
Dennis Machaku1,2, Mujaheed Suleman1,2, Elias Mduma1,2
1General Surgery, Kilimanjaro Christian Medical Center, Kilimanjaro, Tanzania.
Journal of Surgical Case Reports
|February 9, 2023
Summary
Valentino
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Perforated peptic ulcers can present with atypical symptoms.
- Right lower quadrant pain is often associated with appendicitis.
Observation:
- A 23-year-old male presented with right lower quadrant pain, fever, and vomiting.
- Computed tomography revealed pneumoperitoneum and fluid accumulation, suggesting a perforated ulcer.
Findings:
- The patient's symptoms mimicked acute appendicitis due to Valentino's syndrome.
- Chemical peritonitis from a perforated ulcer caused irritation in the right iliac fossa.
Implications:
- Valentino's syndrome presents a diagnostic challenge, mimicking appendicitis.
- Atypical presentations of right lower quadrant pain warrant consideration of perforated ulcers.
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