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Case Report
 
Sarcina ventriculi: A case report of gastric perforation in a 85-year-old male with history of colon cancer
Maria Mironova1, Nariman Gobara2, Christopher P. Pennell3, Danny A. Sherwinter4, Adela Cimic5
1MD, Fellow Observer, Department of Pathology Maimonides Medical Center, Brooklyn, New York 11219, USA
2MD, Attending Pathologist, United Pathology Associates PLLC, Houston, Texas 77063, USA
3MD, Chief Resident, Department of Surgery Maimonides Medical Center, Brooklyn, New York, 11219, USA
4MD, Director Minimally Invasive Abdominal and Bariatric Surgery, Department of Surgery Maimonides Medical Center, Brooklyn, New York, 11219, USA
5MD, Attending Pathologist, Department of Pathology Maimonides Medical Center, Brooklyn, New York, 11219, USA

Article ID: 100017Z11MM2017
doi: 10.5348/Z11-2017-17-CR-6

Corresponding Author:
Maria Mironova,
195 Binney Street, Unit 4514,
Cambridge, Massachusetts,
02142, United States

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How to cite this article
Mironova M, Gobara N, Pennell CP, Sherwinter DA, Cimic A. Sarcina ventriculi: A case report of gastric perforation in a 85-year-old male with history of colon cancer. J Case Rep Images Pathol 2017;3:20–23.


ABSTRACT

Introduction: Sarcina ventriculi, a Gram-positive organism, which has been reported in gastric specimens of patients with delayed gastric emptying. Only 19 cases of human infection have been reported, mostly in the last five years; in most cases the organism was found incidentally or with mild gastrointestinal symptoms such as nausea. However, there were two reported cases of gastric perforation and also in two patients with S. ventriculi infection an occult gastrointestinal malignancy was found.
Case Report: We report a case of gastric perforation with S. ventriculi involvement in an 85-year-old male with a history of colon cancer and partial colectomy. A total gastrectomy was performed; the final histopathological examination revealed the presence of S. ventriculi organisms in ischemic and necrotic gastric mucosa associated with perforation.
Conclusion: S. ventriculi pathogenicity is still debated, but its association with life-threatening conditions like gastric perforation and its increasing frequency requires further understanding of this organism.

Keywords: Colon cancer, Gastric perforation, Gram-positive, Sarcina ventriculi, Sarcina


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Author Contributions
Maria Mironova – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Nariman Gobara – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Christopher P. Pennell – Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Danny A. Sherwinter – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Adela Cimic – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Conflict of Interest
Authors declare no conflict of interest.
Copyright
© 2017 Maria Mironova et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.