Duodenal mucosa shows focal moderate villous atrophy associated intraepithelial lymphocytosis and crypt hyperplasia with submucosal mild infiltrate of lymphocytes and plasma cells. No evidence of specific granulomas. No evidence of atypia or malignancy.
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.
Epigastric pain and weight loss.
Two biopsies were received :