Gastroenteric-anastomosis in the setting of marked stomach dilatation associated with gastric pyloric obstruction secondary to Sarcina ventriculi

Abstract Sarcina ventriculi is an anaerobic gram-positive bacterium capable of surviving in the acidic environment of the stomach and causing gastrointestinal symptoms. We report the case of a 51-year-old patient with no notable medical history who presented with abdominal distension, nausea, and vo...

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Bibliographic Details
Published in:Journal of surgical case reports 2023-10, Vol.2023 (10)
Main Authors: Deflaoui, Tarik, Mabrouk, Mohamed Y, Derkaoui, Anas, Younes, Slimi, Akil, Yassir, Amara, Rihab, Akouh, Nada, Amal, Benani, Jabi, Rachid, Bouziane, Mohammed
Format: Article
Language:English
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Case Report
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Summary:Abstract Sarcina ventriculi is an anaerobic gram-positive bacterium capable of surviving in the acidic environment of the stomach and causing gastrointestinal symptoms. We report the case of a 51-year-old patient with no notable medical history who presented with abdominal distension, nausea, and vomiting. Initial endoscopic evaluation revealed a distended stomach in stasis with pyloric stenosis. Biopsies revealed the presence of Helicobacter pylori and S. ventriculi. A therapeutic protocol was administered, but no symptomatic relief was observed. Subsequently, the patient was referred to our institution, where computed tomography imaging of the abdomen was performed. The results corroborated a presentation suggestive of a high obstruction attributable to a right anterior para-duodenal internal hernia. Ultimately, surgery was undertaken, ruling out the diagnosis of right para-duodenal internal hernia and resulting in gastroenteric anastomosis with satisfactory improvement in clinical symptoms.
ISSN:2042-8812
2042-8812
DOI:10.1093/jscr/rjad559