2. Chief Complaint Laterally spreading tumor c diverticulum, S-colon Present Illness 45/M, 타병원에서 건강검진으로 시행한 위, 대장 내시경 상 colon 의 Laterally spreading tumor c diverticulum 소견으로 절제 시술 위해 입원함. Case 1 11641066 김 O 훈 (M/45) Admission date : 2016.01.14

3. Past-medical history DM / HTN / Tb / Hepatitis ( - / + / - / - ) Op Hx. (-) Personal history Alcohol(+): 주 3 회 x 소주 2 병 Smoking(+): 25PY

4. Work Up Endoscopy 2016.01.15 colonoscopy Image study None

5. S-2016-00806 Diagnosis : A. Colon, sigmoid, 29cm from anal verge, colonoscopic biopsy: Hyperplastic polyp B. Colon, sigmoid, 28cm from anal verge, colonoscopic biopsy: Hyperplastic polyp Pathologic finding

6. Diagnosis Hyperplastic polyp c diverticulum, colon

7. Chief Complaint RLQ pain onset> 1 month ago Present Illness 18/M, Crohn’s disease(2010 년 1 월 ) s/p remicade #31(2014.3 까지 ), s/p Humira(2014.05~) 투약 중으로 1 달 전부터 RLQ pain 발생하여 11/24 abd-CT 촬영 후 terminal ileum 에 4x4 sized mass 관찰되어 자세한 검사 위해 IG 입원하여 항생제 치료 후 GS 로 전과되어 2015.12.30 Rt. Hemicolectomy 시행함. Case 2 12094148 전 O 중 (M/18) Admission date : 2015.12.07

8. Past-medical history DM / HTN / Tb / Hepatitis ( - / - / - / - ) Alcohol(-) Smoking (-) Op Hx (+) : Lap. partial cecectomy d/t fistular formation from the cecum(20140923) Personal history Alcohol (-) Smoking (-)

9. Work Up Endoscopy 2010.01.28 EGD, CFS ( 진단 당시 ) 2015.02.14 sigmoidoscopy Image study 2015.11.24 AP-CT 2015.12.08 entero MR 2015.12.17 AP-CT 2016.01.07 AP-CT

10. Operation 2015.12.30 Rt. Hemicolectomy

11. S-2015-20377 Diagnosis : Ileum and colon, right hemicolectomy: 1. Transmural inflammation and fissuring with non-caseating granulomas, consistent with Crohn's disease (Post partial cecectomy status) 2. Fibromatosis (Desmoid tumor, size: 4.5x3.3x3.0 cm) 3. Reactive lymph nodes (0/24) Small bowel, segmentectomy: Transmural inflammation and subserosal fibrosis, consistent with Crohn's disease Pathologic finding

12. Diagnosis Refractory crohn’s disease c desmoid tumor

13. Chief Complaint Lower abdominal pain onset> 1 mo ago Present Illness 49/F, IDA 로 본원 IH 진단, 고려대병원 IH f/u 하는 자, 반복적인 Infectious colitis 입원 치료 받은 바 (2014.03, 2015.02) 있으며, 2015.11 중순부터 fever(upto 37.8 도 ), 하복부의 통증 발생, 이후 고려대학교 외 래에서 WBC 증가, Hb 감소 동반되어 외래 내원함. Case 3 12153951 최 O 인 (F/49) OPD date : 2015.12.30.

14. Past-medical history DM / HTN / Tb / Hepatitis ( - / - / -/ - ) IDA 2014/3/24~4/3, 2015/2/3~2/9 Infectious colitis 로 본원 IG 입원 Op Hx (-) Personal history Alcohol (-) Smoking(-)

15. Work Up Endoscopy 2014.03.25 Colonoscopy, Gastroscopy 2015.02.04 Sigmoidoscopy 2016.01.12 Colonoscopy, Gastroscopy Image study 2011.09.25 AP-CT 2014.03.24 GB&billiary-CT

16. S-2016-00639, S-2016-00612 Diagnosis : A. Terminal ileum, colonoscopic biopsy: Chronic inflammation with erosion B. Colon, ascending, colonoscopic biopsy: Acute and chronic inflammation with lymphoid aggregates and erosion C. Colon, transverse, colonoscopic biopsy: Acute and chronic inflammation with lymphoid aggregates D. Colon, descending, colonoscopic biopsy: Acute and chronic inflammation with cryptitis E. Colon, sigmoid, colonoscopic biopsy: Acute and chronic inflammation with cryptitis F. Rectum, colonoscopic biopsy: Chronic inflammation Pathologic finding

17. S-2015-01749 Diagnosis : Colon, colonoscopic biopsy: Acute and chronic inflammation S-2014-05079 Diagnosis : Colon, sigmoid, colonoscopic biopsy: Acute and chronic inflammation with superficial cryptitis Pathologic finding

18. S-2014-04730 Diagnosis : A. Cecum, colonoscopic biopsy: Ulcer with acute and chronic inflammation, consistent with infectious colitis B. Colon, transverse, colonoscopic biopsy: Ulcer with acute and chronic inflammation, consistent with infectious colitis C. Rectum, colonoscopic biopsy: Acute and chronic inflammation, consistent with infectious colitis Immunohistochemical finding (S-14-4730, 2): CD3 (+), CD20 (+), Cytomegalovirus (-) EBV finding(S-14-4730, 2): negative Pathologic finding

19. Diagnosis Indeterminated colitis

20. Chief Complaint RLQ pain onset> 1 month ago Present Illness 52/F, Tb peritonitis c multiple Tb abscess 로 2015.5 부터 항결핵제 투여중인 자, 외래에서 시행한 small bowel CT 에서 multiple intra-abdominal abscess 있어 IG 입원하여 결핵약제 투여하다 GS 로 전과되어 2015.12.29 Lap. LN biopsy c ileostomy 시행함. Case 4 12386433 이 O 자 (F/52) Admission date : 2015.11.27

21. Past-medical history DM / HTN / Tb / Hepatitis ( - / - / - / - ) Alcohol (-) Smoking (-) Op Hx (+) : C-sec(1987) Personal history Alcohol (-) Smoking(-)

22. Work Up Endoscopy 2014.09.25 CFS 2015.11.19 CFS Image study 2014.03.19 Abd-CT 2015.05.26 AP-CT 2015.11.19 small bowel CT 2015.12.09 Abd-CT 2015.12.14 Abd-CT 2016.01.06 Abd-CT

23. Operation 2015.12.29 Lap. biopsy c ileostomy

24. S-2015-20268 Diagnosis : Peritoneum, biopsy: Chronic granulomatous inflammation, consistent with Tuberculosis Small intestine, biopsy: Chronic granulomatous inflammation, consistent with Tuberculosis Special stain finding (S-2015-20268, 1 and 2): A.F.B (1:-, 2: -) Pathologic finding

25. S-2015-17761 Diagnosis : A. Colon, ascending, proximal, colonoscopic biopsy: Chronic inflammation B. Colon, transverse, proximal, colonoscopic biopsy: Chronic inflammation S-2014-15004 Diagnosis : A. Terminal ileum, colonoscopic biopsy: Ulceration and chronic granulomatous inflammation B. Colon, ascending, proximal, colonoscopic biopsy: Ulceration and chronic granulomatous inflammation C. Rectum, polypectomy: Tubular adenoma with low grade dysplasia Pathologic finding

26. S-2014-04730 Diagnosis : A. Cecum, colonoscopic biopsy: Ulcer with acute and chronic inflammation, consistent with infectious colitis B. Colon, transverse, colonoscopic biopsy: Ulcer with acute and chronic inflammation, consistent with infectious colitis C. Rectum, colonoscopic biopsy: Acute and chronic inflammation, consistent with infectious colitis Immunohistochemical finding (S-14-4730, 2): CD3 (+), CD20 (+), Cytomegalovirus (-) EBV finding(S-14-4730, 2): negative Pathologic finding

27. Diagnosis TB peritonitis and multiple Tb abscess

28. Chief Complaint Lower abdominal pain onset> 2 weeks ago Present Illness 17/F, Crohn's disease c anal fistula (2014’-5 송도병원 ) mesalazine 복용하던 환자, 2 주 전부터 lower abdomen 의 쑤시는 듯한 통증 발생, pelvic abscess 소견으로 전원됨. Case 5 12540651 김 O 림 (F/17) Admission date : 2015.12.18

29. Past-medical history DM / HTN / Tb / Hepatitis ( - / - / - / - ) Alcohol (-) Smoking (-) Op Hx (-) Personal history Alcohol(-) Smoking(-)

30. Work Up Endoscopy None Image study 2015.12.18 Abd-CT 2015.12.23 AP-CT 2016.01.04 AP-CT 2016.01.11 AP-CT

31. S-2016-00806 Diagnosis : A. Colon, sigmoid, 29cm from anal verge, colonoscopic biopsy: Hyperplastic polyp B. Colon, sigmoid, 28cm from anal verge, colonoscopic biopsy: Hyperplastic polyp Pathologic finding

32. Diagnosis Crohn's disease c pelvic abscess