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Metastatic malignant melanoma causing ileo-ileal intussusception
D Yerrakalva1, R Ackroyd1, F Lee1
1Northern General Hospital, Sheffield, UK.
Journal of Surgical Case Reports
|June 28, 2014
Summary
A rare case of metastatic malignant melanoma caused ileo-ileal intussusception in a 66-year-old man. This highlights the importance of investigating gastrointestinal symptoms in melanoma patients due to silent metastases.
Area of Science:
- Oncology
- Gastroenterology
- Surgical Pathology
Background:
- Malignant melanoma can metastasize to the gastrointestinal tract, often asymptomatically.
- Intussusception is an uncommon cause of intestinal obstruction in adults.
Purpose of the Study:
- To report a rare case of ileo-ileal intussusception caused by metastatic malignant melanoma.
- To emphasize the significance of gastrointestinal symptoms in patients with a history of melanoma.
Main Methods:
- Case report of a 66-year-old male patient.
- Diagnostic imaging including CT scan.
- Surgical resection and histological analysis.
Main Results:
- The patient presented with symptoms of small bowel obstruction.
- CT scan revealed a nodular intussusception.
- Histological analysis confirmed metastatic malignant melanoma as the lead point of intussusception.
Conclusions:
- Metastatic malignant melanoma can present as intussusception, a rare cause of bowel obstruction.
- Patients with a history of melanoma presenting with gastrointestinal symptoms require thorough evaluation due to the potential for silent metastases.
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