Ann Coloproctol.  2023 Feb;39(1):85-88. 10.3393/ac.2021.00143.0020.

Multiple gastrointestinal melanoma causing small bowel intussusception

Affiliations
  • 1Department of Surgery, Hospital Raja Perempuan Zainab II, Kota Bharu, Malaysia
  • 2Department of Pathology, Hospital Raja Perempuan Zainab II, Kota Bharu, Malaysia
  • 3School of Medical Sciences, Hospital Universiti Sains Malaysia, Kota Bharu, Malaysia

Abstract

A 61-year-old gentleman presented with small bowel intussusception from small bowel melanoma intussusceptum. He complains of intermittent abdominal distension but no history of intestinal obstruction. Apart from this, he was also symptomatic anemia which required repeated transfusion for the past few months. The contrast-enhanced computed tomography of the abdomen shows an omental mass with small bowel intussusception. He then underwent an exploratory laparotomy with segmental resection of the affected segment. Histopathological examination confirmed primary gastrointestinal melanoma. Multiple small bowel malignant melanoma is a rare disease. It remains a controversial diagnosis as it may be a primary or metastasis from an unidentified or regressed primary cutaneous melanoma. Prompt surgical intervention enables us to obtain tissue diagnosis, prevent complete intestinal obstruction and strategize the goals of treatment for the patient.

Keyword

Melanoma; Intussusception; Intestinal obstruction; Acute abdomen
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