title: Small bowel malignant melanoma presenting as a perforated jejunal diverticulum: a case report and literature review.
abstract: Although usually harmless and asymptomatic, jejuno-ileal diverticulae are associated with various non-specific gastrointestinal symptoms, and rarely cause surgical emergencies. This case report describes the presentation and management of a patient with an acute abdomen, whose jejunal diverticulum was perforated. Unexpectedly, histopathological assessment demonstrated malignant melanoma lining the diverticulum. Whether this was primary or metastatic is discussed, together with a synopsis of the literature on small bowel diverticulae.
authors.affiliation: The Department of General Surgery, Worthing Hospital, Western Sussex Hospitals NHS Foundation Trust, Worthing, West Sussex, N11 2DH, UK richardnewton22@yahoo.co.uk.
authors.forename: Richard C
authors.initials: RC
authors.lastname: Newton
authors.affiliation: The Department of General Surgery, Worthing Hospital, Western Sussex Hospitals NHS Foundation Trust, Worthing, West Sussex, N11 2DH, UK.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Penney
authors.affiliation: The Department of Histopathology, Worthing Hospital, Western Sussex Hospitals NHS Foundation Trust, Worthing, West Sussex, N11 2DH, UK.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Nind
authors.affiliation: The Department of General Surgery, Worthing Hospital, Western Sussex Hospitals NHS Foundation Trust, Worthing, West Sussex, N11 2DH, UK.
authors.forename: Muhammad S
authors.initials: MS
authors.lastname: Sajid
authors.affiliation: The Department of General Surgery, Worthing Hospital, Western Sussex Hospitals NHS Foundation Trust, Worthing, West Sussex, N11 2DH, UK.
authors.forename: Parvinder
authors.initials: P
authors.lastname: Sains
keywords: intestinal perforation; jejunal diverticulum; malignant melanoma