PDF(Pubmed)
Abstract：
UNASSIGNED: Abdominal pain (AP) is one of the main reasons for consultation in the emergency department worldwide. The causes of AP are gathered in a broad group of pathologies whose incidence and prevalence vary according to various factors. The great importance of an adequate approach to AP lies in ruling out or confirming the presence of acute abdomen that requires emergency surgical management. Valentino\'s Syndrome (VS) simulates the clinical manifestations of acute appendicitis whose origin is the perforation of a peptic ulcer. This is an infrequent entity, with very few reports in the literature, this being the second case reported in Colombia.
METHODS: We present a case of VS in a 59-year-old male patient who was admitted to the emergency department with 3 days of pain in the right iliac fossa that met the diagnostic criteria for acute appendicitis. However, upon surgical exploration, it was determined that the cause was secondary to peptic ulcer perforation (PPU).
CONCLUSIONS: PPU is one of the most infrequent complications of the disease, occurring in close to 10 % of cases, and is considered a surgical emergency. Minimally invasive surgery provides a significant benefit over open surgery, outcomes that directly lead to decreased healthcare costs and increased patient satisfaction.
CONCLUSIONS: PPU represents a diagnostic challenge due to the variability of the symptoms and clinical features. Laparoscopic approach fulfills diagnostic and therapeutic roles with lesser morbidity and mortality rates, which is why it should be standardized. Malignancy should be ruled out in all cases.
METHODS: We present a case of VS in a 59-year-old male patient who was admitted to the emergency department with 3 days of pain in the right iliac fossa that met the diagnostic criteria for acute appendicitis. However, upon surgical exploration, it was determined that the cause was secondary to peptic ulcer perforation (PPU).
CONCLUSIONS: PPU is one of the most infrequent complications of the disease, occurring in close to 10 % of cases, and is considered a surgical emergency. Minimally invasive surgery provides a significant benefit over open surgery, outcomes that directly lead to decreased healthcare costs and increased patient satisfaction.
CONCLUSIONS: PPU represents a diagnostic challenge due to the variability of the symptoms and clinical features. Laparoscopic approach fulfills diagnostic and therapeutic roles with lesser morbidity and mortality rates, which is why it should be standardized. Malignancy should be ruled out in all cases.
摘要：
■腹痛（AP）是全球急诊科进行咨询的主要原因之一。AP的原因集中在广泛的病理组中，其发病率和患病率根据各种因素而变化。对AP采取适当方法的重要性在于排除或确认需要紧急手术治疗的急腹症的存在。Valentino综合征（VS）模拟急性阑尾炎的临床表现，其起源是消化性溃疡的穿孔。这是一个罕见的实体，文献中的报道很少，这是哥伦比亚报告的第二例病例。
方法：我们介绍了一例VS病例，该病例为一名59岁的男性患者，因右侧髂窝疼痛3天被急诊收治，符合急性阑尾炎的诊断标准。然而,在手术探查后，已确定病因继发于消化性溃疡穿孔(PPU).
结论：PPU是该疾病最罕见的并发症之一，发生在接近10%的病例中，被认为是外科紧急情况。与开放手术相比，微创手术具有显着的优势，结果直接导致医疗成本降低和患者满意度提高。
结论：由于症状和临床特征的变异性，PPU代表了一种诊断挑战。腹腔镜方法以更低的发病率和死亡率实现诊断和治疗作用，这就是为什么它应该标准化。在所有情况下都应排除恶性肿瘤。
方法：我们介绍了一例VS病例，该病例为一名59岁的男性患者，因右侧髂窝疼痛3天被急诊收治，符合急性阑尾炎的诊断标准。然而,在手术探查后，已确定病因继发于消化性溃疡穿孔(PPU).
结论：PPU是该疾病最罕见的并发症之一，发生在接近10%的病例中，被认为是外科紧急情况。与开放手术相比，微创手术具有显着的优势，结果直接导致医疗成本降低和患者满意度提高。
结论：由于症状和临床特征的变异性，PPU代表了一种诊断挑战。腹腔镜方法以更低的发病率和死亡率实现诊断和治疗作用，这就是为什么它应该标准化。在所有情况下都应排除恶性肿瘤。
