Adult ileocolic intussusception presenting as small bowel metastatic melanoma

Bastawrous, DO Sarah; McKeown, Elizabeth; Bastawrous, Amir L.

doi:10.1016/j.radcr.2015.08.007

Cited by 3 publications

(1 citation statement)

References 11 publications

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“…The small bowel melanoma may be metastatic in cases of cutaneous, anal, or ocular melanoma. The most typical metastatic lesions in the intestine are melanomas, but the occurrence of intussusception from melanoma is rare [11]. There are only six cases being reported in the English medical literature to date [12].…”

Section: Discussionmentioning

confidence: 99%

Distal Jejunal Intussusception from Melanoma Metastasis: Case Report

Gatelli¹,

Gatelli²,

Arendt³

et al. 2018

JPP

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Introduction: The invagination of one intestinal loop within another rarely occurs in adults and it is usually caused by a polyp or another intraluminal lesion. Intussusceptions occur mostly in children; an organic lesion is not necessary, and colic pain syndrome, rectal bleeding, and a palpable mass (the intussuscepted segment) are characteristics. Justification: To compare data from a tertiary reference hospital with data described in the literature, considering the evolution of such patients is unknown in our field. Objective: To report the case of a patient with distal jejunal intussusception from melanoma metastasis. Method: Information was obtained through medical record reviews, patient interviews, photographic records of the diagnostic methods and the surgery to which patients were subjected, and literature review. Final considerations: The case reported and the publications surveyed bring to light the discussion on the therapeutics of the complex condition that is melanoma metastasis, showing that some patients may present satisfactory and lasting results regarding symptom relief and improvement of quality of life.

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Section: Discussionmentioning

confidence: 99%

Distal Jejunal Intussusception from Melanoma Metastasis: Case Report

Gatelli¹,

Gatelli²,

Arendt³

et al. 2018

JPP

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Metastatic Melanoma to the Small Bowel and Colon: A Systematic Review of the Global Experience and Institutional Cohort Analysis Detailing a Rare Clinical Entity

Yee,

Thielen,

Truong

et al. 2024

Journal of Surgical Oncology

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IntroductionCutaneous melanoma is among the most common solid tumors to metastasize to the gastrointestinal (GI) tract. Literature summarizing the clinical experience and features of this unique pathology is lacking.MethodsA systematic review of the available literature reporting clinically salient features of melanoma metastases to the small and large intestines was conducted. Additionally, we surveyed our institutional experience of surgically treated melanoma metastasis to the small bowel and colon. A descriptive analysis was performed. Kaplan–Meier curves with log‐rank tests were used to analyze time‐to‐event intervals. Univariable and multivariable Cox logistic regression models were generated to identify predictors of survival.ResultsOver 100 studies including 1153 patients were included. GI metastases predominantly affected males, were in the small bowel/jejunum, equally presented as solitary and multiple lesions, and were generally not the first site of distant metastatic disease. The median time from primary lesion diagnosis to GI metastasis was 48 months. Analysis of our institutional cohort suggested that survival in patients receiving complete GI‐specific surgical resection and immune checkpoint inhibitors (ICIs) was prolonged compared to palliative resection and without ICI therapy. Positive prognostic factors for survival following GI metastasis included fewer GI metastatic lesions, complete resection, and longer duration between primary tumor diagnosis and GI metastasis.ConclusionsGI metastases are a sign of advanced metastatic melanoma. Clinical suspicion of metastatic involvement in patients with a history of melanoma who develop any abdominal symptoms or anemia should remain high. Receipt of complete surgical resection and ICIs may prolong survival in disseminated melanoma.

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Intussusception: a rare complication in a patient with acute leukaemia after consolidation chemotherapy

Qasrawi¹,

Ghanimeh

Abughanimeh

et al. 2017

BMJ Case Reports

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Intussusception is telescoping of one segment of the gastrointestinal tract into an adjacent one. It is more common in children than adults. When it occurs in adults, it is usually associated with a lead point. Intussusception is very rare in acute leukaemia and has only been reported in few cases. We present a case of an adult woman who presented with intussusception after a cycle of consolidation chemotherapy with high-dose cytarabine for acute myeloid leukaemia. Other causes of acute abdominal pain were excluded, and the diagnosis was established by CT scan of the abdomen and barium enema. No pathological lead points were found intraoperatively. She underwent a right-sided hemicolectomy with complete recovery. To the best of our knowledge, this is only the fourth case of intussusception that has been reported in an adult patient with acute myeloid leukaemia.

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Adult ileocolic intussusception presenting as small bowel metastatic melanoma

Cited by 3 publications

References 11 publications

Distal Jejunal Intussusception from Melanoma Metastasis: Case Report

Distal Jejunal Intussusception from Melanoma Metastasis: Case Report

Metastatic Melanoma to the Small Bowel and Colon: A Systematic Review of the Global Experience and Institutional Cohort Analysis Detailing a Rare Clinical Entity

Intussusception: a rare complication in a patient with acute leukaemia after consolidation chemotherapy

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