1- Gastric mucosa showing mild atrophy of glands and mild infiltration by lymphocytes and plasma cells. There is evidence of inflammatory activity manifested by neutrophils infiltrating glands, however H. pylori characteristic forms are seen. No evidence of intestinal metaplasia, atypia or malignancy.
2- Ileal mucosa showing mild infiltration by lymphocytes and plasma cells. Villi are intact and are negative for atrophy and ulceration. No evidence of specific granulomas. No evidence of malignancy.
3- Intact colonic mucosa with mild reduction in the number of mucigenic cells and mild infiltration by lymphocytes, plasma cells and neutrophils. However, crypt abscesses are not identified. No evidence of atypical or malignant cells.
Granulonodular ileitis, patchy right-sided colonic erosions, and granular/congested rectosigmoid mucosa. Query IBD.
Three biopsies were received :
1- Gastric biopsy : soft tissue fragments collectively measured 0.7 cm, totally embedded.
2- Ilial biopsy : soft tissue fragments collectively measured 0.6 cm, totally embedded.
3- Colonic biopsy : soft tissue fragments collectively measured 1.2 cm, totally embedded.