Sarcina ventriculi of the stomach: A case report

Table 1 Clinical, endoscopic and histological features of the eight reported cases of Sarcina ventriculi in the literature

Case No.	Age	Sex	Symptoms/clinical findings	Endoscopic findings	Histologic findings	Treatment	Follow-up
1	14	Male	Abdominal pain	Not performed	Diffuse acute hemorrhagic gastritis and Sarcina organisms	Gentamicin and metronidazole	Symptoms improved after 5 d and patient discharged
			CT showed pneumoperitoneum.
			Intraoperatively there was necrotic stomach and gastric perforation and peritonitis
2	50	Male	Chronic nausea, vomiting	Esophagitis, duodenal lesion	Chronic superficial gastritis and ulcer with Sarcina organisms	Not available	Not available
3	3	Female	Vomiting, hematemesis Abdominal X-ray showed dilated stomach with intramural air	Gastric inflammation, blackening of mucosa, cobblestone appearance	Polymorphic inflammatory infiltrate with Sarcina organisms and gas bubbles	Imipene, fluconazole and omeprazole	Repeat endoscopy 6 mo later showed complete normalization
4	58	Female	Nausea and vomiting	Gastritis, food bezoar, inflammatory mass in duodenum	Active chronic gastritis with Sarcina organisms	Partial gastrectomy for obstruction	Treated for adenocarcinoma of pylorus
5	44	Female	Dyspepsia and substernal burning	Gastric ulcer and retained food	Non malignant gastric ulcer with Sarcina organisms	Omeprazole, ranitidine, metoclopramide	Symptoms improved
6	36	Male	Nausea, vomiting, epigastric pain in the setting of narcotic use	Retained food	Sarcina organisms without other histologic abnormalities	Received jejunostomy for malnutrition	Repeat biopsy negative for Sarcina organisms
7	12	Female	Dysphagia in the setting of esophageal atresia status post gastric pull through	Retained food, anastamotic stricture	Reflux esophagitis, Sarcina organisms	Information unavailable	Information unavailable
8	46	Female	Epigastric pain in the setting of pancreatic adenocarcinoma status post pancreatico-duodenectomy	Retained food and bile	Active chronic duodenitis with Sarcina organisms	No treatment	Continues spasms after 1 mo

CT: Computed tomography.