• J La State Med Soc · Sep 2002

    Case Reports

    Clostridial enteritis necroticans versus secondary clostridial infection superimposed upon ischemic bowel disease.

    • Weiqiang Zhao, Philip J Daroca, and Byron E Crawford.
    • Department of Pathology and Laboratory Medicine, Tulane University School of Medicine, New Orleans, Louisiana, USA.
    • J La State Med Soc. 2002 Sep 1;154(5):251-5.

    AbstractClostridial enteritis necroticans, or pig-bel, as seen in Papua New Guinea, is a necrotizing, segmental gangrene of the small intestine occurring in members of a malnourished population, who become ill after consuming large quantities of pork contaminated with Type C. Clostridium perfringens. We report a case of possible Clostridial enteritis necroticans with concomitant ischemic intestinal disease secondary to superior mesenteric arterial thrombosis occurring in a 53-year-old woman with a long history of diabetes mellitus, hypertension, and peripheral vascular disease. The differential diagnosis and the pathogenesis of C. perfringens enteritis necroticans are discussed.

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