title: Necrotizing enteritis simulating Pig-Bel disease in northern India.
abstract: OBJECTIVE
  A clinicopathological study of patients presenting with necrotizing enteritis, similar to the Pig-Bel disease of Papua New Guinea.
  
  
  METHODS
  A clinicopathological study of 95 patients presenting in last ten years with acute abdominal pain with diarrhea and/or bleeding per rectum and vomiting and found to have lesions similar to Pig-Bel disease.
  
  
  RESULTS
  89% of the patients were young adult vegetarians from lower socio-economic strata. 94% of cases presented between May and August every year showing a marked seasonal variation. Jejunum was the most common site (95%) involved. Gross examination showed blackish brown 'skip' lesions with gangrene and perforations. Histology showed marked necrosis and congestion of all the layers with mucosal ulcerations.
  
  
  CONCLUSIONS
  A disease simulating Pig-Bel disease occurs in India. It is more common in young adult vegetarians and may have a different etiology from that proposed in endemic regions.
authors: Department of Pathology, Moti Lal Nehru Medical College, Allahabad.
authors: S C
authors: SC
authors: Gupta
authors: V
authors: V
authors: Mishra
authors: S P
authors: SP
authors: Mishra
authors: A K
authors: AK
authors: Gupta
authors: N K
authors: NK
authors: Keshwani
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004751:Enteritis / Q000453:epidemiology / Q000473:pathology* / Q000628:therapy; D005260:Female; D006801:Humans; D007194:India / Q000453:epidemiology; D007583:Jejunum / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009336:Necrosis