title: Case of fake acute abdomen by metastatic melanoma.
abstract: Malignant melanoma is the neoplasm with highest probability of cardiac metastatization. Cardiac involvement by metastatic melanoma is rarely identified ante-mortem (5-30% of cases) for non-specificity of cardiac symptoms. In fact we show in this case report that abdominal pain can represent the predominant symptom. Furthermore we show the importance of linkage between clinical & anamnestic data which if underestimated can lead to an improper management and to the patient exitus.
authors.affiliation: Department of General Surgery, University of Perugia, Italy. lcattorini@gmail.com
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Cattorini
authors.forename: Alessandro
authors.initials: A
authors.lastname: Spizzirri
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Napolitano
authors.forename: Marco
authors.initials: M
authors.lastname: Coccetta
authors.forename: Diego
authors.initials: D
authors.lastname: Milani
authors.forename: Nicola
authors.initials: N
authors.lastname: Avenia
authors.forename: Francesco
authors.initials: F
authors.lastname: Sciannameo
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis; D000328:Adult; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006338:Heart Neoplasms / Q000175:diagnosis / Q000473:pathology*; D006801:Humans; D008545:Melanoma / Q000175:diagnosis / Q000556:secondary*