Total gastrectomy due to emphysematous and necrotizing gastritis associated with Sarcina ventriculi in an 18-year-old patient.
Gina Patricia de Lima PiñaAlba Larrea RamírezCristina Fuertes JiménezMaría Isabel Cevallos AbadPublished in: Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva (2022)
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.
Keyphrases
- abdominal pain
- emergency department
- computed tomography
- helicobacter pylori
- helicobacter pylori infection
- case report
- physical activity
- magnetic resonance imaging
- positron emission tomography
- optical coherence tomography
- convolutional neural network
- bariatric surgery
- weight loss
- gastric bypass
- dual energy
- roux en y gastric bypass