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Cirugía paraguaya

On-line version ISSN 2307-0420


FRETES, Darío et al. VALENTINO SYNDROME-PERFORATED PEPTIC ULCER. Rev. Cir. Parag. [online]. 2018, vol.42, n.3, pp.40-41. ISSN 2307-0420.

An abdominal pain can have multiple etiologies and its locationusually guides the approach of certa in differential diagnoses. We describethe case of a 66-year-old patient who presented with an un usualcause of pain in the right iliacfossa who, clinically, simulated an acute localized peritonitis of appendice al origin, performed a median supra para infraumbiilical approach during the procedure. No inflammatorychanges were perceived. in the appendix, leading then to perform a thoroughabdominal examination, finding a gastric perforation causing theatypical clinical picture in which gastric and duodenal fluids traveled through the parieto-colic slider, accumulating in the lower right quadrantand thus causing focal peritonitis and clinical picture compatiblewith appendicitis, also known as Valentino syndrome, and should beconsidered as a differential diagnosis, especially in those patients with signs suggestive of peritoneal irritation.

Keywords : abdominal pain; appendicitis; pepticulcer; valentine, syndrome.

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