<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cir. Parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202018000300040</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2018.diciembre.40-41</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[SÍNDROME DE VALENTINO-ULCERA PÉPTICA PERFORADA]]></article-title>
<article-title xml:lang="en"><![CDATA[VALENTINO SYNDROME-PERFORATED PEPTIC ULCER]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fretes]]></surname>
<given-names><![CDATA[Darío]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[Aldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[Ursulino]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benítez]]></surname>
<given-names><![CDATA[Magín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cardozo]]></surname>
<given-names><![CDATA[Raúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar Central de las Fuerzas Armadas  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>42</volume>
<numero>3</numero>
<fpage>40</fpage>
<lpage>41</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202018000300040&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202018000300040&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202018000300040&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Un dolor abdominal puede tener múltiples etiologías y su localizaciónusualmente orienta al abordaje de ciertos diagnósticos diferenciales. Sedescribe el caso de un paciente de 66 años quien se presentó con unainusual causa de dolor en fosa iliaca derecha que, clínicamente, simulabauna peritonitis aguda localizada de origen apendicular, se realizó unabordaje mediana supra para infraumbiilical durante el procedimiento no se percibieron cambios inflamatorios en el apéndice, llevando entoncesa realizar una exploración abdominal exhaustiva, encontrándosecon una perforación gástrica causante del cuadro clínico atípico en elque los fluidos gástricos y duodenales viajaron a través de la correderaparieto-cólica, acumulándose en el cuadrante inferior derecho y causandoasí una peritonitis focal y cuadro clínico compatible con apendicitis,también conocido como síndrome de Valentino, y se debe considerarcomo un diagnóstico diferencial, especialmente en aquellos pacientescon signos sugestivos de irritación peritoneal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY 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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[dolor abdominal]]></kwd>
<kwd lng="es"><![CDATA[apendicitis]]></kwd>
<kwd lng="es"><![CDATA[úlcera péptica]]></kwd>
<kwd lng="es"><![CDATA[síndrome de Valentino]]></kwd>
<kwd lng="en"><![CDATA[abdominal pain]]></kwd>
<kwd lng="en"><![CDATA[appendicitis]]></kwd>
<kwd lng="en"><![CDATA[pepticulcer]]></kwd>
<kwd lng="en"><![CDATA[valentine, syndrome]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Canavosso]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Carena]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Manuel Carbonell]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Monjo]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Palas Zuñiga]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Dolor en fosa ilíaca derecha y Score de Alvarado]]></article-title>
<source><![CDATA[Cirugía Española]]></source>
<year>2008</year>
<volume>83</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>247-51</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zuluaga-Arbeláez]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Uribe-Castaño]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Albeiro Machado]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Rivera]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome de Valentino: úlcera péptica perforada simulando apendicitis aguda]]></article-title>
<source><![CDATA[CES Medicina]]></source>
<year>2018</year>
<page-range>74-8</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ramírez-Ramírez]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Villanueva-Saenz]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome de Valentino. Úlcera péptica perforada con presentación clínica inusual]]></article-title>
<source><![CDATA[Revista de Gastroenterología de México]]></source>
<year>2016</year>
<volume>81</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>225-6</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Amann]]></surname>
<given-names><![CDATA[CJ]]></given-names>
</name>
<name>
<surname><![CDATA[Austin]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
<name>
<surname><![CDATA[Rudinsky]]></surname>
<given-names><![CDATA[SL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Valentino's Syndrome: A Life-Threatening Mimic of Acute Appendicitis]]></article-title>
<source><![CDATA[CPC Emergency Medicine]]></source>
<year>2017</year>
<volume>1</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>44-6</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
