A 35-Year-Old Immunocompromised Male With Epigastric Pain

Non-operative Management of Sarcina ventriculi-Associated Severe Emphysematous Gastritis: A Case Report

“…How Sarcina over-proliferates in the body or why it causes fatal complications in some individuals and not others need to be further elucidated. Some of the cases cited in this report have also indicated delayed gastric emptying either from diabetes or gastric surgery, immunocompromised state, and concomitant Candida infections in their patients with Sarcina , which may play a role in its growth [ 1 , 10 , 21 ]. In our patient, delayed gastric emptying likely played a role in his complications judging by the gastric contents still seen during the EGD.…”

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

“…[1][2][3][4][5] With radiologic imaging now more widely used, the diagnostic rate of EG has increased with its reported rate quadrupling after 2012 2 ; nonetheless, fewer than 120 cases have been reported in the literature. [1][2][3][4][5][6][7][8][9] It has been proposed that gastric mucosal lesions (either ulcerative or ischemic) may serve as a nidus for penetration and mucosal breakdown vs hematogenous spread from a distant focus, with subsequent gas production. [1][2][3][4][5][6] Typical organisms include Streptococci species, Escherichia coli, Clostridium spp, Klebsiella pneumoniae, and rarely Sarcina ventriculi.…”

“…[1][2][3][4][5][6] Typical organisms include Streptococci species, Escherichia coli, Clostridium spp, Klebsiella pneumoniae, and rarely Sarcina ventriculi. 1,2,4,[6][7][8][9][10] Gastric volvulus can compromise blood supply to the stomach and predispose to ischemia and EG. We present a rare case of EG associated with S. ventriculi, secondary to organo-axial volvulus of the stomach.…”