title: Sonographical findings in Whipple's disease. A case report with regard to the literature.
abstract: 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.
authors.affiliation: Department of Surgery, Georg-August-University of Göttingen, Federal Republic of Germany.
authors.forename: A
authors.initials: A
authors.lastname: Brüggemann
authors.forename: H
authors.initials: H
authors.lastname: Burchardt
authors.forename: G
authors.initials: G
authors.lastname: Lepsien
mesh_terms: D006801:Humans; D007421:Intestine, Small / Q000000981:diagnostic imaging; D008198:Lymph Nodes / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D008061:Whipple Disease / Q000000981:diagnostic imaging*