A Rare Clinical Condition Mimicking Acute Appendicitis: Valentino Syndrome

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A Rare Clinical Condition Mimicking Acute Appendicitis: Valentino Syndrome

A Rare Clinical Condition Mimicking Acute Appendicitis: Valentino Syndrome

Authors : Özgür Genç, Yusuf Emre Altundal

Pages : 899-902

Doi:10.5798/dicletip.1841283

View : 25 | Download : 63

Publication Date : 2025-12-12

Article Type : Other Papers

Abstract :Objective: Valentino syndrome is a rare clinical entity that mimics acute appendicitis due to the retroperitoneal spread of a duodenal ulcer perforation. We present a case diagnosed preoperatively and treated laparoscopically. Methods: A 51-year-old man presented with acute abdominal pain radiating from the epigastrium to the right lower quadrant. Physical examination revealed upper-quadrant tenderness and rebound. Laboratory testing showed a mild elevation in C-reactive protein (4.1 mg/L). Results: Contrast-enhanced CT demonstrated intramural gas in the gastric antrum, inflammatory stranding within the periduodenal fat planes, free air anterior to the left hepatic lobe, and a reactively thickened appendix. A preoperative diagnosis of “Valentino appendicitis” was made. Laparoscopy confirmed a prepyloric perforation, which was repaired using a Graham patch. Appendectomy was not performed. Conclusion: Valentino syndrome can be recognized preoperatively through careful clinical and radiologic assessment.
Keywords : Valentino sendromu, duodenal ülser perforasyonu, akut apandisit, preoperatif tanı, laparoskopik cerrahi

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