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Case Reports
. 2012 Jun 28:2012:bcr0320126015.
doi: 10.1136/bcr.03.2012.6015.

Valentino's syndrome a perforated peptic ulcer mimicking acute appendicitis

Sandeep Indika Wijegoonewardene  1 , Joel Stein, David Cooke, Alan Tien
Affiliations
Case Reports

Valentino's syndrome a perforated peptic ulcer mimicking acute appendicitis

Sandeep Indika Wijegoonewardene et al. BMJ Case Rep. .

Abstract

The authors present a case of a 30-year-old female who presented with symptoms and signs suggestive of appendicitis accompanied by elevated inflammatory markers. The patient was consented and taken to theatre for laparoscopic apendicectomy. At operation, the appendix was found to be normal but with surrounding turbid fluid in the right paracolic gutter and subhepatic space. On further inspection, a perforated pre pyloric ulcer was discovered. This was managed laparoscopically with a peritoneal lavage and falciform ligament patch repair. The patient made a good recovery and was discharged 2 days later. At 6 week follow-up the patient had an upper gastrointestinal (GI) endoscopy which showed complete healing of the ulcer. At 6 week follow-up the patient had an upper GI endoscopy which showed complete healing of the ulcer.

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Conflict of interest statement

Competing interests: None.

Figures

Figure 1
Figure 1
Normal appendix with surrounding turbid fluid.
Figure 2
Figure 2
Right ovary and uterus with surrounding pus.
Figure 3
Figure 3
RIF turbid pus collection.
Figure 4
Figure 4
Sub hepatic pus collection.
Figure 5
Figure 5
Prepyloric ulcer.
Figure 6
Figure 6
(A, B) Postop endoscopy pylorus at 6 weeks complete healing noted.
See this image and copyright information in PMC

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