PMC5577031_01
Duodenal villous blunting with ecchymotic areas.
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F1
The duodenum exhibited villous blunting, swollen and granular appearance, micronodular pattern, and exuberant ecchymotic areas (Figure 1).
Giardia lamblia in duodenal biopsy specimens.
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F2
Duodenal biopsies showed villous atrophy, presence of eosinophils, nodular lymphoid hyperplasia (NLH), and numerous parasites compatible with Giardia lamblia (Figure 2).
Micronodular ileal pattern in terminal ileoscopy.
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F3
Ileocolonoscopy showed villous blunting and exuberant micronodular pattern in terminal ileum (Figure 3) and swollen friable mucosa in the right colon.
(A) Micronodular duodenal pattern on capsule endoscopy. (B) Ileal ulcers on capsule endoscopy.
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F4
A capsule enteroscopy revealed a diffuse micronodular mucosal pattern in duodenum and ileum, a relatively spared jejunum, and uncountable ileal aphtous erosions and circular superficial ulcers (Figure 4).