Enteritis necroticans 'pigbel' in a Japanese diabetic adult.
Enteritis necroticans 'pigbel' is caused by Clostridium perfringens type C but has rarely been reported in developed countries. A 50-year-old Japanese man with untreated diabetes mellitus (DM) presented with diarrhea and abdominal pain. Intraoperative endoscopic and macroscopic examination disclosed segmental annular mucosal lesions characteristic of clostridial enteritis. Clostridial infection type C was verified on pathological, and immunohistochemical analysis. Although rare, the disease is likely to be underdiagnosed. Hence, the pathology and immunohistochemistry of segmental enteritis with annular mucosal lesions should be examined to establish a diagnosis of enteritis necroticans even in mildly affected patients, and especially those with DM.
Department of Gastroenterology, Sapporo Higashi-Tokushukai Hospital, Sapporo, Japan.
Tomomichi
T
Matsuda
Yuji
Y
Okada
Eiji
E
Inagi
Yasushi
Y
Tanabe
Yozo
Y
Shimizu
Kazuo
K
Nagashima
Jun
J
Sakurai
Masahiro
M
Nagahama
Shinya
S
Tanaka
D015746:Abdominal Pain / Q000209:etiology; D003015:Clostridium Infections / Q000150:complications* / Q000473:pathology / Q000601:surgery; D003016:Clostridium perfringens / Q000302:isolation & purification* / Q000472:pathogenicity; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000473:pathology; D003967:Diarrhea / Q000209:etiology; D004751:Enteritis / Q000382:microbiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007413:Intestinal Mucosa / Q000382:microbiology / Q000473:pathology; D007583:Jejunum / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome