Always check the "debris." These gastric biopsies came from a diabetic patient with delayed gastric emptying. The endoscopist noted retained food in the patient's stomach. Sarcina ventriculi is present. It is not a definitive human pathogen, but it is believed to be one in ruminants, such as cows. www.innovativesciencepress.com
Lam-Himlin D, Tsiatis AC, Montgomery E, Pai RK, Brown JA, Razavi M, Lamps L, Eshleman JR, Bhagavan B, Anders RA. Sarcina organisms in the gastrointestinal tract: a clinicopathologic and molecular study. Am J Surg Pathol. 2011 Nov;35(11):1700-5. PMID: 21997690; PMCID: PMC3193598.
Case provided by Dr. Elizabeth Montgomery, Clinical Professor, Vice Chair of Faculty Development & Mentoring, Director of Surgical Pathology Fellowship Training Program, Co-Director, Pathology Reference Services, and Editor-In-Chief at Innovative Science Press.
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