Thickened muscularis in an asymptomatic DSH
Approximately 4 year old DSH presented one year ago for vomiting. Abdominal US performed at that time showed moderately increased muscularis and overall increased wall thickness: duodenum=3.4mm thick, jejunum=4.9mm thick and ileum=3.2mm thick. The gallbladder showed a slightly thickened wall and reactive fat was seen adjacent to the intestines. Full thickness biopsies were recommended but…