Surgery: 25 years old patient with acute very severe pain in the umbilical or periumbilical or epigastric region, ballash mthl darbit sikeen, then the pain shifts to the right iliac fossa and after several hours he develops abdominal guarding

Question

25 years old patient with acute very severe pain in the umbilical or periumbilical or epigastric region, ballash mthl darbit sikeen, then the pain shifts to the right iliac fossa and after several hours he develops abdominal guarding

H K · Accepted Answer

(Could be appendicitis or) Valentino syndrome (rare): gastric or duodenal peptic ulcer perforation, so the gastric juice will go to right iliac fossa and causes pain.

Surgery

25 years old patient with acute very severe pain in the umbilical or periumbilical or epigastric region, ballash mthl darbit sikeen, then the pain shifts to the right iliac fossa and after several hours he develops abdominal guarding

(Could be appendicitis or) Valentino syndrome (rare): gastric or duodenal peptic ulcer perforation, so the gastric juice will go to right iliac fossa and causes pain.

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