Duodenal mucosa show focal erosions with focal moderate villous atrophy associated intraepithelial lymphocytosis and crypt hyperplasia with submucosal moderate infiltrate of lymphocytes and plasma cells. No evidence of specific granulomas. No evidence of atypia or malignancy.
Epigastric pain, duodenal biopsy to exclude celiac disease.
Soft tissue fragments collectively measured 0.8 cm, totally embedded.
Duodenum, endoscopic biopsy: