1- Gastric mucosa showing moderate infiltration by lymphocytes and plasma cells. Neutrophils are seen infiltrating glands thus indicating activity. H. pylori characteristic forms are present. Focal intestinal metaplasia is observed. There is no evidence of atypia or malignancy.
2- Duodenal mucosa shows broadening with focal flattening of villi indicating atrophy. Submucosa is moderately infiltrated by lymphocytes and plasma cells. No evidence of specific granulomas. No evidence of atypia or malignancy. Picture is consistent with celiac disease.
Gastric and duodenal biopsies
Two biopsies were received :
1- Gastric biopsy : soft tissue fragments collectively measured 0.3 cm, totally embedded.
2- Duodenal biopsy : soft tissue fragments collectively measured 1 cm, totally embedded.
Gastric endoscopic biopsies :
Duodenal endoscopic biopsies :