Duodenal Perforation Presenting as Acute Appendicitis: Valentinos Syndrome

The pain in the right iliac fossa corresponds most commonly to Acute appendicitis. However, several other conditions may present with similar clinical profile. This study emphasis the fact that Valentinos syndrome has to be considered as the differential diagnosis in symptoms suggestive of acute appendicitis. Valentinos syndrome occurs due to leakage of digestive fluids from perforated peptic ulcer. This induces peritonitis and sometimes the fluids get collected in the right iliac fossa causing pain, hence mimicking appendicitis. Valentinos syndrome is a very misleading condition which has high mortality if proper evaluation and timely management is not done.