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Case Reports
. 2024 Mar 11;11(3):e01295.
doi: 10.14309/crj.0000000000001295. eCollection 2024 Mar.

A Rare Case of Emphysematous Gastritis Secondary to Organo-Axial Gastric Volvulus Associated With Sarcina ventriculi

Jonathan Rozenberg  1 , Adil Mir  2 , Klaus Mönkemüller  2 , Bryan Collier  3 , Douglas Grider  4   5
Affiliations
Case Reports

A Rare Case of Emphysematous Gastritis Secondary to Organo-Axial Gastric Volvulus Associated With Sarcina ventriculi

Jonathan Rozenberg et al. ACG Case Rep J. .

Abstract

Gastric volvulus is a potentially life-threatening condition that can compromise the blood supply to the stomach predisposing to ischemia, eventually necrosis and cell death associated with gas-forming bacteria. Sarcina ventriculi has been associated with emphysematous gastritis also. We report a case of emphysematous gastritis associated with S. ventriculi in the setting of organo-axial gastric volvulus.

Keywords: Sarcina ventriculi; emphysematous gastritis; organo-axial gastric volvulus.

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Figures

Figure 1.
Figure 1.
Sagittal view of the computed tomography abdomen/pelvis showcasing the pylorus/duodenum (red arrow) superior to the gastroesophageal junction (blue arrow) indicative of organo-axial gastric volvulus.
Figure 2.
Figure 2.
Coronal view of the computed tomography abdomen/pelvis demonstrating a concentric ring of air around the stomach (red arrows) with diffuse, hepatoportal venous gas (blue arrows) indicating mucosal air infiltration.
Figure 3.
Figure 3.
(A, B) H&E stain of the gastrectomy specimen at 2×, 4× magnification, respectively. (C) Gram stain of the gastrectomy specimen demonstrating a gram-positive coccus bacterium in a cuboidal, tetrad formation (red arrows) consistent with Sarcina ventriculi, at 20× magnification. (D) H&E stain of the gastrectomy specimen showing basophilic staining of characteristic appearing Sarcina ventriculi (black arrow) at 20× magnification. H&E, hematoxylin and eosin.
Figure 4.
Figure 4.
(A) Gram stain and (B, C) hematoxylin and eosin stain of the gastrectomy specimen at the point of perforation showcasing Sarcina ventriculi at 20×, 4×, 20× magnification, respectively.
Figure 5.
Figure 5.
(A, B) Intraoperative small bowel and (C) anterior transverse colon noted to have patchy areas of full thickness ischemia near perforation (black arrows), with poor perfusion, hyperemia, associated mucosal thickening, and serosal petechiae (blue arrows).
See this image and copyright information in PMC

References

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