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{
    "pk": 343,
    "title": "Valentino’s Syndrome: A Life-Threatening Mimic of Acute Appendicitis",
    "subtitle": null,
    "abstract": "Perforated ulcers are a rare cause of abdominal pain, and may not be considered when pain is localized to the right lower quadrant (RLQ). This case highlights an unusual presentation of a perforated duodenal ulcer that presented with RLQ pain, which has been described as Valentino’s Syndrome. Valentino’s Syndrome occurs when gastric or duodenal fluids collect in the right paracolic gutter causing focal peritonitis and RLQ pain. This case highlights that perforated ulcers, while an uncommon cause of RLQ pain, must remain on the differential of any patient that has an abdominal examination consistent with peritonitis.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/03r9h2b5",
    "frozenauthors": [
        {
            "first_name": "Christopher",
            "middle_name": "J",
            "last_name": "Amann",
            "name_suffix": "",
            "institution": "Naval Medical Center San Diego",
            "department": "None"
        },
        {
            "first_name": "Andrea",
            "middle_name": "L",
            "last_name": "Austin",
            "name_suffix": "",
            "institution": "Naval Medical Center San Diego",
            "department": "None"
        },
        {
            "first_name": "Sherri",
            "middle_name": "L",
            "last_name": "Rudinsky",
            "name_suffix": "",
            "institution": "Naval Medical Center San Diego",
            "department": "None"
        }
    ],
    "date_submitted": "2017-01-19T03:21:09+05:30",
    "date_accepted": "2017-01-19T03:21:09+05:30",
    "date_published": "2017-01-19T03:21:49+05:30",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/343/galley/109/download/"
        }
    ]
}