Acute clostridial enteritis--or pig-bel?
Acute postprandial gastric dilatation and associated clostridial enteritis necroticans is a well recognised but unusual clinical condition. Non-pathological overeating, gastric distension, and clostridial enteritis, termed pig-bel, has been reported in Papua, New Guinea. A similar condition (Darmbrand) was reported from Germany after the second world war, but it is not a condition seen in our society today. Gastric dilatation alone may be seen in individuals with anorexia nervosa, who may occasionally indulge in episodes of overeating (bulimia). We wish to report a case of gastric dilatation associated with a fulminating enteritis, and discuss the similarities with enteritis necroticans (pig-bel).
D000208:Acute Disease; D000328:Adult; D003015:Clostridium Infections / Q000209:etiology*; D003016:Clostridium perfringens; D004751:Enteritis / Q000209:etiology*; D001068:Feeding and Eating Disorders / Q000150:complications*; D005260:Female; D013271:Gastric Dilatation / Q000209:etiology*; D006801:Humans; D006963:Hyperphagia / Q000150:complications*