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any lap surgeons miss this important diagnosis,leading to increased re operation rates , morbidity and mortality
this is a trick diagnosis and missed by many general surgeons and ER doctors
DU perforation can mimic acute appendicitis cos the leaking HCl causes chemical appendicitis which resolves after some hours ,but the DU symptoms increase
This syndrome is called Valentino syndrome ,named after the famous New York City actor in the 1920s Rudolf Valentino who was misdiagnosed and died of multi organ failure a few days later
Many lap surgeons miss this important diagnosis,leading to increased re operation rates , morbidity and mortality
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