1. Presented by Peter Illei, M.D. and prepared by Zarir E. Karanjawala, M.D., Ph.D.

This 46-year-old Caucasian female had a 20-year past medical history of Crohn"s disease treated with ileocolectomy followed by multiple incisional hernias and colostomy site revisions. Within the last year, the patient developed hypothyroidism, hypertension, hypertriglyceridemia and hypercholesterolemia. She now presented with excessive and sometimes bloody discharge from her diverted portion of sigmoid and rectum (not exposed to feces) for which a procto-sigmoidectomy was performed. Images shown are sections of the blind ended portion of the specimen.

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