Small bowel metastases from malignant melanoma

Metastases of malignant melanoma to the small bowel are only rarely seen by the radiologist. In the majority of cases small bowel invasion causes only aspecific symptoms. Gastro-intestinal bleeding is frequently the first specific complaint. Enteroclysis is the most appropriate technique for demonstrating mucosal abnormalities. CT however is not only more sensitive but it also better delineates local and mesenteric involvement.