Sarcina ventriculi of the stomach: A case report

Shiva K. Ratuapli, Dora M. Lam-Himlin, Russell I. Heigh

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

Sarcina ventriculi is a Gram positive organism, which has been reported to be found rarely, in the gastric specimens of patients with gastroparesis. Only eight cases of Sarcina, isolated from gastric specimens have been reported so far. Sarcina has been implicated in the development of gastric ulcers, emphysematous gastritis and gastric perforation. We report a case of 73-year-old male, with history of prior Billroth II surgery and truncal vagotomy, who presented for further evaluation of iron deficiency anemia. An upper endoscopy revealed diffuse gastric erythema, along with retained food. Biopsies revealed marked inflammation with ulcer bed formation and presence of Sarcina organisms. The patient was treated with ciprofloxacin and metronidazole for 1 wk, and a repeat endoscopy showed improvement of erythema, along with clearance of Sarcina organisms. Review of reported cases including ours suggests that Sarcina is more frequently an innocent bystander rather than a pathogenic organism. However, given its association with life threatening illness in two reported cases, it may be prudent to treat with antibiotics and anti-ulcer therapy, until further understanding is achieved.

Original languageEnglish (US)
Pages (from-to)2282-2285
Number of pages4
JournalWorld journal of gastroenterology
Volume19
Issue number14
DOIs
StatePublished - Apr 13 2013

Keywords

  • Bacterial overgrowth
  • Emphysematous gastritis
  • Gastric perforation
  • Gram negative
  • Sarcina ventriculi

ASJC Scopus subject areas

  • Gastroenterology

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    Ratuapli, S. K., Lam-Himlin, D. M., & Heigh, R. I. (2013). Sarcina ventriculi of the stomach: A case report. World journal of gastroenterology, 19(14), 2282-2285. https://doi.org/10.3748/wjg.v19.i14.2282