From June to early October of 1993, 1994 and 1995 at least 40 outbreaks of a highly lethal disease occurred in cattle and sheep in the central region of Uruguay. During 1995 total cattle losses probably exceeded 1000 head. Mortalities were 1.6%, 7.0% and 1.3% for calves, yearlings and adults, respectively, but mortalities up to 28% occurred on some farms. Sheep were less frequently affected than cattle. Most animals were just found dead. Cattle had weakness, muscular tremors, depression, stupor and death. Others became highly excited and aggressive. Most affected cattle died within 2 d. Jaundice and mild photosensitization were observed in cattle that survived longer. Gross and microscopic lesions were severe periacinar or massive necrosis of hepatocytes with prominent edema of the gall bladder wall and its attachments. Edema, ecchymoses and petechiae on serous membranes, ascites and dry content of the omasum, colon and rectum were also observed. Invariably larval body fragments and heads of P flavipes were found in the rumen and omasum. The diagnosis of sawfly poisoning was confirmed by experimental feeding of 3 sheep and 2 calves with 9 to 40 g of P flavipes larvae/kg body weight.