A case of Viper aspis bite followed by severe envenomation, shock, neu
rotoxic symptoms, myoglobinuria and coagulation disorders with thrombo
sis of the iliac vessels and intestinal infarction is described. A rig
ht hemicolectomy had to be performed. Treatment is described in detail
. European adder bites may cause, although uncommonly, severe envenomi
ng with unusual symptoms. The attending doctor must be prepared to fac
e unusual diagnostic and therapeutic problems. (C) 1998 Elsevier Scien
ce Ltd. All rights reserved.