Brüggemann A, Burchardt H, Lepsien G
Department of Surgery, Georg-August-University of Göttingen, Federal Republic of Germany.
Surg Endosc. 1992 May-Jun;6(3):138-40. doi: 10.1007/BF02309087.
We present a case report of a 60-year-old male patient and subsequently discuss sonographical findings in Whipple's disease. This particular patient showed an intraabdominal tumorous mass. Symptoms of a malabsorption disorder were absent. Computer-assisted tomography and radiological examination could not determine the origin of the tumor. Sonography demonstrated a polycyclic hyperechoic mass in the root of the mesentery. The small intestine was not distended and showed normal peristalsis. Its wall was hyperechoic concentrically thickened. Final diagnosis was established from a diagnostic laparotomy showing enlarged lymph nodes and distended lymphatic vessels. Based on the literature the described sonographical findings seem to be typical in cases of Whipple's disease.
我们报告一例60岁男性患者的病例，并随后讨论惠普尔病的超声检查结果。该特殊患者表现为腹内肿瘤性肿块。不存在吸收不良障碍的症状。计算机断层扫描和放射学检查无法确定肿瘤的起源。超声检查显示肠系膜根部有一多环高回声肿块。小肠未扩张，蠕动正常。其肠壁呈同心性高回声增厚。通过诊断性剖腹术发现淋巴结肿大和淋巴管扩张，从而确立了最终诊断。根据文献，所描述的超声检查结果在惠普尔病病例中似乎是典型的。
