Enteroscopy in the diagnosis of melanoma metastases

Autor: Antonio José Ruiz-Rodríguez, Francisco Javier Casado Caballero, Alicia Martín Lagos Maldonado, María Del Mar Díaz Alcázar
Rok vydání: 2020
Předmět:
Zdroj: Revista Española de Enfermedades Digestivas. 112
ISSN: 1130-0108
Popis: We present abdominal computed tomography and enteroscopy images of a 48-year-old male patient with a previous melanoma who presented with epigastric pain. The pain was not controlled with medical management. Abdominal computed tomography and a histological study of biopsies form enteroscopy confirmed the diagnosis of metastatic melanoma. The gastrointestinal involvement of melanoma is usually metastatic. Symptomatic gastrointestinal involvement occurs in less than 5% of melanomas, although postmortem analyses have reported up to 70%. The clinical presentation is variable and usually presents as abdominal pain. The diagnosis of small intestinal involvement of melanoma is a challenge due to its poor accessibility. The enteroscopy has a fundamental role as it allows a direct visualization and biopsies to be taken for histological study.
Databáze: OpenAIRE