case_images: PMC5742877_01
case_images: Axial CT image of the chest at the level of the main pulmonary artery bifurcation. Arrows denote two of the multiple pulmonary artery emboli (filling defects) which were observed bilaterally in this patient within both lobar and segmental pulmonary arteries.
case_images: CRIGM2017-5236918.001.jpg
case_images: PMC5742877_01_CRIGM2017-5236918.001.jpg
case_images: fig1
case_images: CT scan of the chest with IV contrast showed bilateral pulmonary emboli, greater on the right, most prominently seen within the distal right main pulmonary artery and to a lesser degree on the left within segmental and subsegmental branches (Figure 1).
case_images: Duodenal biopsy demonstrating partial villous atrophy with crypt hyperplasia.
case_images: CRIGM2017-5236918.002.jpg
case_images: PMC5742877_01_CRIGM2017-5236918.002.jpg
case_images: fig2
case_images: Biopsies were taken and histology showed partial villous atrophy (villous : crypt ratio 1 : 3) with crypt hyperplasia and a marked increase in intraepithelial lymphocytes (80 lymphocytes per 100 epithelial cells) consistent with celiac sprue, Marsh classification 3B (Figures 2 and 3).
case_images: Higher power view highlighting a marked increase in intraepithelial lymphocytes.
case_images: CRIGM2017-5236918.003.jpg
case_images: PMC5742877_01_CRIGM2017-5236918.003.jpg
case_images: fig3
case_images: Biopsies were taken and histology showed partial villous atrophy (villous : crypt ratio 1 : 3) with crypt hyperplasia and a marked increase in intraepithelial lymphocytes (80 lymphocytes per 100 epithelial cells) consistent with celiac sprue, Marsh classification 3B (Figures 2 and 3).