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<p class="ql-align-justify">Duodenal mucosa shows focal moderate villous atrophy associated i<span style="color: rgb(0, 29, 53);">ntraepithelial lymphocytosis and crypt hyperplasia </span>with submucosal mild infiltrate of lymphocytes and plasma cells. No evidence of specific granulomas. No evidence of atypia or malignancy. </p>
<p class="ql-align-justify">Epigastric pain and anemia two months post-cholecystectomy, who underwent an upper GI endoscopy that appeared macroscopically normal but required duodenal biopsies to rule out villous atrophy.</p>
<p class="ql-align-justify">Soft tissue fragments collectively measured 0.5 cm, totally embedded.</p>
<h3><strong><em><u>Duodenal endoscopic biopsy:</u></em></strong></h3><ul><li><strong>Focal moderate villous atrophy with associated chronic non-specific duodenitis, consistent with celiac disease. </strong></li><li><strong>Modified Marsh-Oberhuber classification, grade 3a (</strong><strong style="background-color: oklch(0.9798 0.005 78.3); color: oklch(0.2642 0.013 93.9);">Corazza & Villanacci </strong><strong>grade B1).</strong></li><li><strong>Negative for malignancy. </strong></li></ul>
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