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

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" Valentino’s Syndrome: A Life-Threatening Mimic of Acute Appendicitis "
Amann, Christopher J; Austin, Andrea L; Rudinsky, Sherri L

Document Type	:	AL
Record Number	:	927785
Doc. No	:	LA03r9h2b5
Language of Document	:	English
Main Entry	:	Amann, Christopher J; Austin, Andrea L; Rudinsky, Sherri L
Title & Author	:	Valentino’s Syndrome: A Life-Threatening Mimic of Acute Appendicitis [Article]\ Amann, Christopher J; Austin, Andrea L; Rudinsky, Sherri L
Title of Periodical	:	Clinical Practice and Cases in Emergency Medicine
Volume/ Issue Number	:	1/1
Date	:	2017
Abstract	:	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.