PMC7378313_01
Intraoperative findings: gastric necrosis with a 2 cm perforation along the lesser curvature.
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Emergent exploratory laparotomy was performed and revealed a massively dilated stomach with a 2 cm linear, burst-like perforation along the lesser curvature (Fig. 1); significant amounts of free intraperitoneal blood and gastric contents were encountered.
Abdominal CT scan demonstrating a markedly dilated stomach with intramural air and extensive portal venous gas.
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Histopathologic examination of the gastric specimen revealed pathologic colonization with Sarcina ventriculi (Fig. 2).