Multiple gastrointestinal melanoma causing small bowel intussusception
10.3393/ac.2021.00143.0020
- Author:
Jian Yang ENG
1
;
Salehah TAHKIN
;
Huzairi YAACOB
;
Nor Hayati YUNUS
;
Ahmad Shan Wani Mohamed SIDEK
;
Michael Pak-Kai WONG
Author Information
1. Department of Surgery, Hospital Raja Perempuan Zainab II, Kota Bharu, Malaysia
- Publication Type:Case Report
- From:Annals of Coloproctology
2023;39(1):85-88
- CountryRepublic of Korea
- Language:English
-
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.
