case_images: PMC3533628_01
case_images: Computed tomography of abdomen and pelvis showing large amount of ascites and thickened small bowel wall. No pelvis or peritoneal mass identified.
case_images: CRIM.GM2012-124275.001.jpg
case_images: PMC3533628_01_CRIM.GM2012-124275.001.jpg
case_images: fig1
case_images: Computed tomography of the abdomen and pelvis showed large volume ascites and prominent small bowel loops (Figures 1(a) and 1(b)).
case_images: Esophagogastroduodenoscopy showed multiple areas of erythematous patches at the duodenal bulb.
case_images: CRIM.GM2012-124275.002.jpg
case_images: PMC3533628_01_CRIM.GM2012-124275.002.jpg
case_images: fig2
case_images: Oesophagogastroduodenoscopy (Figure 2) showed multiple areas of erythematous patches at the superior duodenal angle close to the second portion of the duodenum.
case_images: H&E Low power view of second part of duodenal biopsy showing Marsh 3a villous atrophy.
case_images: CRIM.GM2012-124275.003.jpg
case_images: PMC3533628_01_CRIM.GM2012-124275.003.jpg
case_images: fig3
case_images: Histological examination of duodenal mucosa revealed Marsh 3a villous atrophy consistent with coeliac disease although no previous biopsies were available for comparison (Figure 3).
case_images: H&E high power view of jejunal biopsy showed increase in lamina propria cellularity with eosinophilic infiltration.
case_images: CRIM.GM2012-124275.004.jpg
case_images: PMC3533628_01_CRIM.GM2012-124275.004.jpg
case_images: fig4
case_images: Jejunal mucosa showed dense infiltration of eosinophils on the lamina propria (30/HPF) (Figures 4 and 5).
case_images: H&E section of jejunal biopsy showed eosinophils infiltration (30/HPF) in the lamina propria.
case_images: CRIM.GM2012-124275.005.jpg
case_images: PMC3533628_01_CRIM.GM2012-124275.005.jpg
case_images: fig5
case_images: Jejunal mucosa showed dense infiltration of eosinophils on the lamina propria (30/HPF) (Figures 4 and 5).
case_images: Computed tomography showing resolution of ascites and small bowel thickening three months after discharge from hospital.
case_images: CRIM.GM2012-124275.006.jpg
case_images: PMC3533628_01_CRIM.GM2012-124275.006.jpg
case_images: fig6
case_images: A repeat computed tomography of the abdomen and pelvis three months after discharge from hospital showed resolution of the ascites and small bowel wall thickening (Figures 6(a) and 6(b)).