Arbeiter G, Leonhardt H, Bippus P H, Pickartz H, Ingerowski R
Leber Magen Darm. 1978 Apr;8(2):104-10.
A case report is given of a patient with a malabsorption syndrome. Primary diagnostic procedures including x-ray examinations and endoscopy yielded no results. Alterations of the abdominal lymph vessel system were found during peritoneoscopy giving rise to the hypothetical diagnosis of Whipple's disease. This diagnosis was confirmed by intestinal biopsy yielding macrophages with PAS-positive inclusion bodies. It is pointed out, that peritoneoscopy is a good means to evaluate the abdominal lymph vessel system.
报告了一例患有吸收不良综合征的患者。包括X光检查和内窥镜检查在内的初步诊断程序均未得出结果。在腹腔镜检查过程中发现腹部淋巴管系统有改变，从而得出惠普尔病的疑似诊断。通过肠道活检发现巨噬细胞含有PAS阳性包涵体，证实了这一诊断。文中指出，腹腔镜检查是评估腹部淋巴管系统的一种好方法。
