title: Valentino's syndrome a perforated peptic ulcer mimicking acute appendicitis.
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.
authors: Acute Surgical Unit, Department of Surgery, Fremantle Hospital, Fremantle, Western Australia, Australia. indika1000@gmail.com
authors: Sandeep Indika
authors: SI
authors: Wijegoonewardene
authors: Joel
authors: J
authors: Stein
authors: David
authors: D
authors: Cooke
authors: Alan
authors: A
authors: Tien
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001064:Appendicitis / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D016481:Helicobacter Infections / Q000188:drug therapy / Q000382:microbiology; D016480:Helicobacter pylori; D006801:Humans; D010439:Peptic Ulcer Perforation / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery*; D054328:Proton Pump Inhibitors / Q000627:therapeutic use; D013272:Stomach Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery*
chemical_list: D000900:Anti-Bacterial Agents; D054328:Proton Pump Inhibitors