Fig. 2

Second gastroduodenoscopy. a Endoscopic view of the gastric corpus and proximal antrum showing the same giant cerebriform gastric mucosal folds as in the first endoscopy. b Histopathology of the gastric mucosal biopsy after treatment for Helicobacter-like organisms revealing a severe chronic diffuse lymphoplasmacytic gastritis (lymphocytes short arrow, plasma cells long arrow) with a decreased number of macrophages relative to the first gastric biopsies. Haematoxylin and eosin staining 20X. Insert: No Helicobacter-like organisms were detected. Warthin-Starry silver staining, bar 5 µm