Gutierrez-Alvarez Mauricio, Vallarta Santiago, Cruz Rodrigo, Visag-Castillo Victor
Department of General Surgery, Medica Sur, Mexico, MEX.
Department of Transplants, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico, MEX.
Cureus. 2023 Feb 10;15(2):e34845. doi: 10.7759/cureus.34845. eCollection 2023 Feb.
Numerous pathologies can cause abdominal pain; thus, the surgeon's job is to precisely identify any pathologies that may require surgery and endanger the patient's life. Perforation of a gastric or duodenal ulcer associated with a clinical picture of acute appendicitis is known as Valentino syndrome (VS). To our knowledge, there are 22 cases of VS reported in the literature. We describe the clinical case of a 53-year-old female patient with abdominal pain in the right iliac fossa who came to the emergency room. A plain tomography was performed, which found free intraperitoneal fluid and free subdiaphragmatic air. Therefore, a laparotomy was performed, revealing a gastric perforation. VS is a rare pathology and when not recognized and managed properly, it can increase patients' mortality.
许多病症都可导致腹痛；因此，外科医生的职责是准确识别任何可能需要手术并危及患者生命的病症。与急性阑尾炎临床表现相关的胃或十二指肠溃疡穿孔被称为瓦伦蒂诺综合征（VS）。据我们所知，文献中报道了22例VS病例。我们描述了一名53岁女性患者的临床病例，该患者因右下腹疼痛前来急诊室。进行了普通断层扫描，发现腹腔内有游离液体和膈下有游离气体。因此，进行了剖腹手术，发现是胃穿孔。VS是一种罕见的病症，如果未得到正确识别和处理，会增加患者的死亡率。
