AUTHOR=Cates Katherine Westbrook , Hudson Catherine TITLE=Case Report: Sarcina ventriculi, a masquerade of motility JOURNAL=Frontiers in Gastroenterology VOLUME=Volume 4 - 2025 YEAR=2025 URL=https://www.frontiersin.org/journals/gastroenterology/articles/10.3389/fgstr.2025.1607667 DOI=10.3389/fgstr.2025.1607667 ISSN=2813-1169 ABSTRACT=Sarcina ventriculi is a rare bacterium that has the potential to cause severe disease in the gastric mucosa. According to our search, there are less than 100 prior published case reports. This case discusses a 69-year-old man who presented to the hospital with severe gastric distention noted on CT of the abdomen with intractable nausea and emesis, for which endoscopy was performed and ruled out gastric outlet obstruction, with biopsies resulting as S. ventriculi. This bacterium has previously been reported to cause gastric dysmotility, as well as severe side effects including gastric perforation.