Year 2023 / Volume 115 / Number 3
Digestive Diseases Image
Total gastrectomy due to emphysematous and necrotizing gastritis associated with Sarcina ventriculi in an 18-year-old patient

133-135

DOI: 10.17235/reed.2022.8767/2022

Gina Patricia de Lima Piña, Alba Larrea Ramírez, Cristina Fuertes Jiménez, María Isabel Cevallos Abad,

Abstract
An 18-year-old woman with no pathological history, admitted to Emergency Department with abdominal pain and vomiting after consuming alcohol and cannabis in the last 36 hours. On physical examination, she presented with abdominal distention, signs of peritoneal irritation and sepsis. Abdominal computed tomography showed gastric, esophageal and duodenal distension, gastric and portal pneumatosis and the presence of free intra-abdominal fluid. An exploratory laparotomy was performed revealing extensive gastric necrosis. Then, total gastrectomy with stapled Roux-en-Y anastomosis was required. Histopathology of the gastric tissue confirmed extensive images of transmural emphysematous and necrotizing gastritis, and allowed to identify established Sarcina ventriculi infection.
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References
Singh K. Emphysematous gastritis associated with Sarcina ventriculi. Caso Rep Gastroenterol. 2019; 13 (1): 207-213.
Al Rasheed MR, Senseng CG. Sarcina ventriculi: Review of the Literature. Arch Pathol Lab Med. 2016 Dec;140(12):1441-1445
3. Ugarte Bilbao, Ane et al. Sarcina ventriculi in gastric biopsies of two patients with an underlying neoplasia. Rev Esp Enferm Dig . 2022 Mar; 22; 115.
Citation tools
de Lima Piña G, Larrea Ramírez A, Fuertes Jiménez C, Cevallos Abad M. Total gastrectomy due to emphysematous and necrotizing gastritis associated with Sarcina ventriculi in an 18-year-old patient . 8767/2022


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Publication history

Received: 03/03/2022

Accepted: 24/03/2022

Online First: 01/04/2022

Published: 07/03/2023

Article Online First time: 29 days

Article editing time: 369 days


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