Biomedical subjects
Publications and source records attributed to F W Obermeier.
Computed tomography did not lead to the correct diagnosis in a 40-year-old female patient with an adrenal cyst on the right side. Sonography permitted differentiation of the tumour from the surroundings. However, only angiography showed quality and precise localization of the tumour. Thus, in certain cases, angiography cannot be replaced despite the large diagnostic value of the other methods.
A case report is given of a 54 year old male patient, who had acute, relapsing, life threatening episodes of gastro-intestinal bleeding caused by hemorrhagic gastroduodenitis associated with Whipple's disease. The diagnosis was established by histological examination of duodenum biopsies, which contained the pathognomonic PAS-positive macrophages. The gastroduodenitis healed after treatment with tetracyclines und bleeding stopped consequently. Clinical, pathological, radiological and clinical chemistry findings of patients with Whipple's disease are discussed on the basis of literature.
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