Valentino’s Syndrome: A Life-Threatening Mimic of Acute Appendicitis

Perforated ulcers are a rare cause of abdominal pain, and may not be considered when pain is localized to the right lower quadrant (RLQ). This case highlights an unusual presentation of a perforated duodenal ulcer that presented with RLQ pain, which has been described as Valentino’s syndrome. Valent...

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Main Authors: Christopher J. Amann, Andrea L. Austin, Sherri L. Rudinsky
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2017-01-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/03r9h2b5
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author Christopher J. Amann
Andrea L. Austin
Sherri L. Rudinsky
author_facet Christopher J. Amann
Andrea L. Austin
Sherri L. Rudinsky
author_sort Christopher J. Amann
collection DOAJ
description Perforated ulcers are a rare cause of abdominal pain, and may not be considered when pain is localized to the right lower quadrant (RLQ). This case highlights an unusual presentation of a perforated duodenal ulcer that presented with RLQ pain, which has been described as Valentino’s syndrome. Valentino’s syndrome occurs when gastric or duodenal fluids collect in the right paracolic gutter causing focal peritonitis and RLQ pain. This case highlights that perforated ulcers, while an uncommon cause of RLQ pain, must remain on the differential of any patient that has an abdominal examination consistent with peritonitis.
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spelling doaj.art-bb7d9f5e625746dd836c146e962a9e192022-12-21T22:37:16ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2017-01-011110.5811/cpcem.2016.11.32571cpcem-01-44Valentino’s Syndrome: A Life-Threatening Mimic of Acute AppendicitisChristopher J. AmannAndrea L. AustinSherri L. RudinskyPerforated ulcers are a rare cause of abdominal pain, and may not be considered when pain is localized to the right lower quadrant (RLQ). This case highlights an unusual presentation of a perforated duodenal ulcer that presented with RLQ pain, which has been described as Valentino’s syndrome. Valentino’s syndrome occurs when gastric or duodenal fluids collect in the right paracolic gutter causing focal peritonitis and RLQ pain. This case highlights that perforated ulcers, while an uncommon cause of RLQ pain, must remain on the differential of any patient that has an abdominal examination consistent with peritonitis.https://escholarship.org/uc/item/03r9h2b5
spellingShingle Christopher J. Amann
Andrea L. Austin
Sherri L. Rudinsky
Valentino’s Syndrome: A Life-Threatening Mimic of Acute Appendicitis
Clinical Practice and Cases in Emergency Medicine
title Valentino’s Syndrome: A Life-Threatening Mimic of Acute Appendicitis
title_full Valentino’s Syndrome: A Life-Threatening Mimic of Acute Appendicitis
title_fullStr Valentino’s Syndrome: A Life-Threatening Mimic of Acute Appendicitis
title_full_unstemmed Valentino’s Syndrome: A Life-Threatening Mimic of Acute Appendicitis
title_short Valentino’s Syndrome: A Life-Threatening Mimic of Acute Appendicitis
title_sort valentino s syndrome a life threatening mimic of acute appendicitis
url https://escholarship.org/uc/item/03r9h2b5
work_keys_str_mv AT christopherjamann valentinossyndromealifethreateningmimicofacuteappendicitis
AT andrealaustin valentinossyndromealifethreateningmimicofacuteappendicitis
AT sherrilrudinsky valentinossyndromealifethreateningmimicofacuteappendicitis