1- Gastric mucosa showing moderate infiltration by lymphocytes and plasma cells. Neutrophils are seen infiltrating glands thus indicating activity. H. pylori characteristic forms are not infiltrated. There is no evidence of intestinal metaplasia, 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.
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.
Chronic active gastritis with bile reflux, chronic ulcerating duodenitis, proctocolitis, ?? Crohn's disease,?? Celiac disease.
Three container biopsies were received :
1- Stomach: soft tissue fragments collectively measured 0.6 cm, totally embedded.
2- Duodenum: soft tissue fragments collectively measured 0.6 cm, totally embedded.
3- Colonic : soft tissue fragments collectively measured 0.7 cm, totally embedded.
Gastric endoscopic biopsy:
Duodenum, endoscopic biopsy:
Colon, endoscopic biopsy: