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Metastatic melanoma causing jejunal intussusception.

Tania Mucci¹, William Long, Agnes Witkiewicz

¹Department of Surgery, Thomas Jefferson University, 1100 Walnut Street, MOB, Suite 500, Philadelphia, PA 19107, USA.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract

|July 11, 2007

Summary

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Small bowel intussusception from melanoma metastases is rare but treatable. Surgical resection of these solitary metastases can offer long-term relief and potential cure for patients with advanced melanoma.

Area of Science:

Oncology
Gastroenterology
Surgical Pathology

Background:

Gastrointestinal (GI) tract metastases are common in melanoma.
Small bowel intussusception secondary to melanoma is a rare clinical presentation.
Surgical resection of intussusception typically offers significant palliation.

Observation:

A patient with widely metastatic melanoma presented with abdominal pain.
CT imaging revealed small bowel metastases.
Exploratory surgery identified a jejunojejunal intussusception.

Findings:

Resection of the intussusception was performed.
The patient experienced excellent palliation of symptoms.
Solitary small bowel metastases can be amenable to curative-intent resection.

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Implications:

Surgical intervention for rare intussusception cases in metastatic melanoma can be highly effective.
Resection offers a chance for long-term survival and cure in select patients.
Highlights the importance of considering intussusception in metastatic melanoma patients with abdominal pain.