Multiple gastrointestinal melanoma causing small bowel intussusception.

Autor:	Eng JY; Department of Surgery, Hospital Raja Perempuan Zainab II, Kota Bharu, Malaysia., Tahkin S; Department of Surgery, Hospital Raja Perempuan Zainab II, Kota Bharu, Malaysia., Yaacob H; Department of Surgery, Hospital Raja Perempuan Zainab II, Kota Bharu, Malaysia., Yunus NH; Department of Pathology, Hospital Raja Perempuan Zainab II, Kota Bharu, Malaysia., Sidek ASWM; Department of Surgery, Hospital Raja Perempuan Zainab II, Kota Bharu, Malaysia., Wong MP; School of Medical Sciences, Hospital Universiti Sains Malaysia, Kota Bharu, Malaysia.
Jazyk:	angličtina
Zdroj:	Annals of coloproctology [Ann Coloproctol] 2023 Feb; Vol. 39 (1), pp. 85-88. Date of Electronic Publication: 2021 Jul 21.
DOI:	10.3393/ac.2021.00143.0020
Abstrakt:	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.
Databáze:	MEDLINE
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