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Gastric Perforation Due to Sarcina ventriculi: A Histologically Confirmed Case

Linda C Klumpp1, Brenton Sinopoli2, Bailey L Alkhatib3

  • 1Infectious Diseases, Prisma Health Richland/University of South Carolina, Columbia, USA.

Cureus
|January 19, 2023
PubMed

Insights

A rare bacterial infection caused gastric perforation and pneumoperitoneum in an elderly male. Prompt surgery and antibiotics successfully treated this Sarcina ventriculi case.

Area of Science:

  • Gastroenterology
  • Microbiology
  • Radiology

Background:

  • Gastric perforation is a life-threatening condition often requiring surgical intervention.
  • Pneumoperitoneum, the presence of air in the abdominal cavity, is a common sign of visceral perforation.

Observation:

  • An 88-year-old male presented with severe abdominal pain and radiographic evidence of extensive free intraperitoneal gas.
  • Computed tomography revealed pneumatosis, portal venous gas, and free fluid, indicating a critical intra-abdominal event.

Findings:

  • The patient's gastric biopsies confirmed the presence of Sarcina ventriculi, a rare bacterium, as the cause of gastric perforation.
  • Surgical intervention combined with a course of antibiotics led to the patient's cure.

Implications:

  • This case highlights Sarcina ventriculi as a potential, albeit rare, cause of gastric perforation and pneumoperitoneum.
  • Early diagnosis and appropriate treatment, including surgery and antibiotics, are crucial for managing such rare gastrointestinal emergencies.
Keywords:
delayed gastric emptyinggastric perforationgastritisgram negative coccushistologypathologysarcina ventriculiulcer

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