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Case Reports
. 2022 Dec 16;14(12):e32609.
doi: 10.7759/cureus.32609. eCollection 2022 Dec.

Gastric Perforation Due to Sarcina ventriculi: A Histologically Confirmed Case

Linda C Klumpp  1 , Brenton Sinopoli  2 , Bailey L Alkhatib  3 , Joseph Horvath  1
Affiliations
Case Reports

Gastric Perforation Due to Sarcina ventriculi: A Histologically Confirmed Case

Linda C Klumpp et al. Cureus. .

Abstract

We present a case of a rare cause of gastric perforation and pneumoperitoneum, associated with Sarcina ventriculi. An 88-year-old male presented to the emergency room with significant abdominal pain as his chief complaint. Abdominal radiograph showed extensive free intraperitoneal gas under the diaphragms. Computed tomography (CT) of the abdomen and pelvis showed pneumatosis, portal venous gas, and extensive free intraperitoneal gas with free fluid. Immediate surgical intervention ensued. The gastric biopsies obtained proved valuable for confirming the diagnosis of S. ventriculi. In conjunction with surgery, the patient received a course of antibiotics for a cure.

Keywords: delayed gastric emptying; gastric perforation; gastritis; gram negative coccus; histology; pathology; sarcina ventriculi; ulcer.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Bilateral free air under the diaphragms (arrows)
Figure 2
Figure 2. CT showing free air (arrow)
Figure 3
Figure 3. Hematoxylin and eosin stain of gastric epithelium under microscopy at 20X
The top arrow indicates the cuboid and tetrad packets of Sarcina ventriculi; the bottom arrow points to gastric epithelium and pits.
Figure 4
Figure 4. Hematoxylin and eosin stain at 40X showing S. ventriculi cuboids and tetrad packets (arrows)
See this image and copyright information in PMC

References

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