Publication:

Valentino’s syndrome: a formidably deceptive tale of peptic ulcer

The incidence of peptic ulcer disease (PUD) has steadily declined with the advent of H2 blockers and proton pump inhibitors (PPIs). The combined use of PPIs and endoscopic treatment has further decreased the need for emergency surgeries. Perforated ulcers are a rare cause of abdominal pain, and may not even be considered when the patient presents with right lower quadrant (RLQ) pain. In this article we report a case of 50-year lady, who presented with symptoms and signs of appendicitis accompanied by elevated inflammatory markers. Proper history taking, explicit knowledge regarding differentials, accurate radiological diagnosis and skilful surgical repair is paramount in its management and to prevent morbidity and mortality.