Metastatic melanoma causing jejunal intussusception.
The gastrointestinal (GI) tract is a common site of melanoma metastases although reports of small bowel intussusception are relatively rare. Most patients with intussusception will be symptomatic and resection will provide significant palliation. In rare instances, patients will have solitary metastases to the small intestine, and resection can provide long-term palliation and chance for cure. We describe a case of a patient with a widely metastatic melanoma who presented with crampy abdominal pain and CT findings of small bowel metastases. Exploration revealed jejunojejunal intussusception and resection provided excellent palliation.
Mucci
Tania
T
Department of Surgery, Thomas Jefferson University, 1100 Walnut Street, MOB, Suite 500, Philadelphia, PA 19107, USA.
Long
William
W
Witkiewicz
Agnes
A
Mastrangelo
Michael J
MJ
Rosato
Ernest L
EL
Berger
Adam C
AC
D006801:Humans; D007150:Immunohistochemistry; D007443:Intussusception / Q000209:etiology*; D007579:Jejunal Diseases / Q000209:etiology*; D007580:Jejunal Neoplasms / Q000150:complications* / Q000556:secondary*; D008297:Male; D008545:Melanoma / Q000556:secondary*; D008875:Middle Aged; D011379:Prognosis; D012878:Skin Neoplasms / Q000473:pathology*