scholarly journals A RARE CASE OF VALENTINO SYNDROME- CASE REPORT

2021 ◽  
Vol 5 (11) ◽  
Author(s):  
Rohit K Phadnis ◽  
Suditi Sharma ◽  
Sai Lavanya Patnala ◽  
Faiz Hussain ◽  
Neha Chigulapalli
Keyword(s):  
Duodenal Ulcer ◽  
Case Report ◽  
Acute Appendicitis ◽  
Diagnostic Laparoscopy ◽  
Iliac Fossa ◽  
Rare Condition ◽  
Duodenal Perforation ◽  
Ulcer Perforation ◽  
The Right ◽  
Duodenal Ulcer Perforation

Background: Valentino’s syndrome refers to acute abdomen with clinical presentation mimicking acute appendicitis in a Perforated gastric or duodenal ulcer. This occurs when suppurative fluid from duodenal perforation trickles down the paracolic gutter to the right iliac fossa causing peritonitis locally and causes periappendicitis. Less than 50 cases have been reported in literature of the same. Case report and discussion: A 42-year-old male was admitted to the general surgery department with pain in the right iliac fossa and epigastric region. A diagnostic laparoscopy was performed under the suspicion of Acute appendicitis, which was later converted to open laparotomy on finding a perforated duodenal ulcer. Review of Literature: Valentino syndrome is a rare condition in which a duodenal ulcer mimics acute appendicitis which is a diagnosed intraoperatively and managed surgically. Although the exact incidence is unknown, less than 50 cases have been reported worldwide. The first incidence reports back to 1926 when an Italian actor, Rodolfo Valentino who succumbed to this rare disease and it was named after him. Conclusion: Differential diagnosis of duodenal ulcer perforation should be considered for adult patient with diagnosis of acute appendicitis. X ray erect abdomen and diagnostic laparoscopy can help to overcome foot in mouth situation due to missed duodenal ulcer perforation. Keywords: Valentino syndrome.  

Study of factors affecting mortality and morbidity in patients presenting with peritonitis due to duodenal ulcer perforation

2021 ◽  
Vol 19 (2) ◽  
pp. 35-39
Author(s):  
Pradeep Chandra Sharma ◽  
Keyword(s):  
Duodenal Ulcer ◽  
Previous History ◽  
Common Factors ◽  
Duodenal Perforation ◽  
High Morbidity ◽  
Delayed Presentation ◽  
Mortality And Morbidity ◽  
Factors Affecting ◽  
Ulcer Perforation ◽  
Duodenal Ulcer Perforation

Background: Peptic ulcer disease in the general population had lifetime prevalence of 5-10% with incidence of 0.1–0.3% per year. Despite the tremendous improvement in preventive therapies, the rate of complication of this disease is still high and is burdened by high morbidity and mortality. In present study, we aimed to study factors affecting mortality and morbidity in patients presenting with peritonitis due to duodenal ulcer perforation at our tertiary hospital. Material and Methods: Present study was single-center, prospective, observational study conducted in patients admitted, diagnosed with duodenal ulcer perforation and surgically treated at our hospital. Results: In present study period total 56 patients were studied. All were male, most common age group was 51-60 years (37.5%) followed by 41-50 years (23.21%). Duration from onset of symptoms to admission was >24 hours (30.36%) in most of patients followed by 12-24 hours (28.57%). Most commons symptoms were pain in abdomen (100%), vomiting (100%). Anaemia (37.5%), LRTI and Pulmonary complications (19.64%), Diabetes mellitus (12.5%) and Hypertension (10.71%) were common comorbidities noted. Associated risk factors were previous history of PUD (41.07%), Alcohol use (64.29%), Cigarette smoking (51.79%) and Use of NSAIDs (12.5%). Presence of free gas under diaphragm was noted in 83.93% patients. Intraoperatively duodenal perforation diameter was 1–5 mm (60.71%) in most of patients followed by 6–10 mm (23.21%). Only 1 patient had duodenal perforation diameter was > 20mm. Common postoperative complications were wound infection (37.5%) and pulmonary infection (21.43%). In present study mortality within 1 month was noted in 13 patients (23.21%). Most common factors related to mortality were delayed presentation > 24 hours (61.54%), age > 60 years (46.15%), diabetes mellites (38.46%), Size of perforation > 1 cm (38.46%) and septicaemic shock (23.08%). Conclusion: Delayed presentation > 24 hours, age > 60 years size of perforation > 1 cm were common factors related to mortality in duodenal ulcer perforation patients.

scholarly journals Gemella haemolysans bacteremia in a patient with secondary peritonitis due to a duodenal ulcer perforation: A case report

IDCases ◽  
2018 ◽  
Vol 12 ◽  
pp. 133-135
Author(s):  
Yoshiro Hadano ◽  
Yusuke Kinugasa ◽  
Kiyofumi Ohkusu ◽  
Kazushige Ishibashi ◽  
Miwako Isoda
Keyword(s):  
Duodenal Ulcer ◽  
Case Report ◽  
Secondary Peritonitis ◽  
Ulcer Perforation ◽  
Duodenal Ulcer Perforation

scholarly journals Idiopathic Omental Infarction Mimic Acute Appendicitis: A Case Report

2020 ◽  
pp. 1-3
Author(s):  
Hamad Almakinzy ◽  
Bandar Idress ◽  
Hamad Almakinzy
Keyword(s):  
Case Report ◽  
Acute Appendicitis ◽  
Acute Abdomen ◽  
Inflammatory Markers ◽  
Iliac Fossa ◽  
Young Patients ◽  
Acute Onset ◽  
First Case ◽  
Laparoscopy Surgery ◽  
The Right

Idiopathic Omental Infarct (IOI) is a rare cause of an acute abdomen that arises from an interruption of blood supply to the omentum. Since first case was described by Elitelin 1899, more than 300 cases have been published [1]. It can mimic serious surgical pathology. It occurs in <1% of appendicitis cases [2]. It’s challenge to diagnose, as features may mimic acute appendicitis and therefore in young patients, may only be discovered intra-operative. Here, we present a case of omental infarct in 26-year-old gentleman with no significant medical or surgical background who present with acute onset of right iliac fossa (RIF) pain. Examination revealed tenderness over the right iliac fossa and was having localized rebound. His inflammatory markers were high. He was successfully treated with laparoscopy surgery and he was subsequently discharged the following day.

scholarly journals Clinical Study on Patients with Duodenal Perforation

2020 ◽  
Vol 3 (1) ◽  
pp. 71-74
Author(s):  
S P Rajan ◽  
Sudheer UK ◽  
Sreejith ◽  
Dinesh Babu M V
Keyword(s):  
Duodenal Ulcer ◽  
Peptic Ulcer ◽  
Clinical Study ◽  
Wound Complication ◽  
Duodenal Perforation ◽  
X Ray ◽  
Male Predominance ◽  
Ulcer Perforation ◽  
Duodenal Perforations ◽  
Duodenal Ulcer Perforation

Background: Perforations of peptic ulcer are third in frequencies, acute appendicitis and acute intestinal obstruction being more common. Prompt recognition of the condition is very important and only by early diagnosis and treatment it is possible to reduce the still relatively    high mortality. The aim of this study was to review and study the factors influencing, the outcome of the duodenal perforations. Subjects and Methods: A clinical study was conducted in 50 cases of diagnosed duodenal ulcer perforation that was established by the admitting surgeon, based on clinical features and supposed by radiological evidence and confined at operation. This study comprises of 50 cases of duodenal ulcer perforation admitted in period from January 2017 to January 2020. Results: In present study, out of total 50 patients with duodenal ulcer 46(92%) males and 5(8%) females, with male predominance. Highest incidence was found between 41-50 years followed by 21-29 years. Most of the patients admitted by 12-24 hours, common site of ulcer is prepyloric in presentation. Duodenal ulcer perforations were single perforation, while two cases of ileal perforations were multiple. Smoking is main predisposing cause of ulcer. ARDS were 14% (7 patients) and it was observed that 32 percent (16 patients) having wound complication, 2 percent (‘1 patient) having mortality and 46% (23 patients) have no complications. In this present study, 60% of patients had h/o Peptic ulcer. On X- ray, 90% of patients had finding of air under diaphragm. Conclusion: The mortality in perforated duodenal ulcer has been reduced owing to early approach to hospital, diagnosis, prompt surgical treatment and appropriate and adequate antibiotics. Smoking and alcohol consumption and life style modification may reduce morbidity and mortality in patients with duodenal perforation.

scholarly journals A rare case of Valentino’s syndrome

2018 ◽  
Vol 5 (8) ◽  
pp. 2933
Author(s):  
Mohan C. P. ◽  
Kabalimurthy J. ◽  
Balamurugan E. ◽  
Jayavarmaa R.
Keyword(s):  
Acute Appendicitis ◽  
Rare Case ◽  
Iliac Fossa ◽  
Duodenal Perforation ◽  
Peptic Ulcer Perforation ◽  
Gastric Contents ◽  
Right Iliac Fossa Pain ◽  
The Right ◽  
Clinical Conditions

The pain in the right iliac fossa corresponds with many clinical conditions, most commonly Acute appendicitis. Rarely peptic ulcer perforation presents as pain in the right iliac fossa. This condition is called as Valentino’s syndrome. This is due to the leakage of the gastric contents from the stomach or duodenum during the perforation. This induces peritonitis and sometimes the fluids get collected in the right iliac fossa causing pain, hence mimicking appendicitis. This is the case study of a 17yr old boy with right iliac fossa pain and tenderness, vomiting, fever, all corresponding to acute appendicitis. But on surgical exploration, it was found to be duodenal perforation. Valentino’s syndrome is a very misleading condition which will lead to death if proper evaluation and timely management is not done. This study emphasis the fact that Valentino’s syndrome has to be considered as the differential diagnosis in symptoms suggestive of acute appendicitis.

scholarly journals First Report of Preoperative Imaging Diagnosis of a Surgically Confirmed Case of Valentino's Syndrome

2014 ◽  
Vol 4 ◽  
pp. 28 ◽  
Author(s):  
Parag Suresh Mahajan ◽  
Mohammed Fahmy Abdalla ◽  
Nishan K. Purayil
Keyword(s):  
Computed Tomography ◽  
Duodenal Ulcer ◽  
Acute Appendicitis ◽  
Preoperative Imaging ◽  
Duodenal Perforation ◽  
Emergency Physicians ◽  
Imaging Diagnosis ◽  
Normal Appendix ◽  
Retroperitoneal Perforation ◽  
The Right

Perforation of a duodenal ulcer (DU) into the retroperitoneal space presenting with clinical features of acute appendicitis is known as Valentino's syndrome. Post duodenal perforation, the gastric and duodenal fluids tend to settle in the right paracolic gutter causing peritonitis and clinically mimicking acute appendicitis. Only three cases of Valentino's syndrome have been reported till date in the published literature and there is only one previous report of its preoperative imaging diagnosis. To our knowledge, this is the first reported case of preoperative imaging diagnosis in a surgically confirmed case of Valentino's syndrome. In most cases, patients with undiagnosed Valentino's syndrome are operated for acute appendicitis, and on finding a normal appendix, search is made for the cause of peritonitis, which then leads to retroperitoneal perforation of duodenum. The diagnosis of Valentino's syndrome by computed tomography (CT) imaging is easy and can help in avoiding the surgery or directing the surgeon directly to the repair of the duodenal perforation. It is, therefore, essential for emergency physicians, surgeons, and radiologists to know about this entity and consider it in the differential diagnosis.

Duodenal Ulcer Perforation and Pneumothorax: a Case Report

2006 ◽  
Vol 106 (3) ◽  
pp. 344-345 ◽  
Author(s):  
F. Basak ◽  
E. Kinaci ◽  
S. Aksoy ◽  
A. Aren
Keyword(s):  
Duodenal Ulcer ◽  
Case Report ◽  
Ulcer Perforation ◽  
Duodenal Ulcer Perforation

scholarly journals DUODENAL ULCER PERFPRATION - A CLINICAL STUDY IN A TERTIARY HEALTH CARE SET UP.

2020 ◽  
pp. 44-45
Author(s):  
Abinasha Mohapatra ◽  
Himansu Shekhar Mishra
Keyword(s):  
Duodenal Ulcer ◽  
Medical Science ◽  
Duodenal Perforation ◽  
Ulcer Disease ◽  
Ulcer Perforation ◽  
Lower Socioeconomic ◽  
Abdominal Emergencies ◽  
Set Up ◽  
Duodenal Perforations ◽  
Duodenal Ulcer Perforation

BACKGROUND - Peptic ulcer disease though having multifactorial etiologies, out of which H.pyroli infection and NSAIDs use are leading causes of duodenal perforation. Gastro-duodenal perforations are common in surgical practice. Acute perforations of duodenum are estimated to occur in 2-10% of patients with ulcers. MATERIALS AND METHODS - This a retrospective study ( done between August 2019 to August 2020), where 100 patients with duodenal ulcer perforation were enrolled, analyzed and compared in Department of General Surgery, Veer Surendra Sai Institute of Medical Science And Research (VIMSAR) , Burla, Sambalpur. RESULTS – More common in 40-59 years age group, male and lower socioeconomic status. CONCLUSION-Duodenal ulcer perforation is one of the most common acute abdominal emergencies.

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