Ileal Malignant Melanoma Causing Intussusception: Report of a Case

Karmiris, Konstantinos; Roussomoustakaki, Maria; Tzardi, Maria; Romanos, John; Grammatikakis, John; Papadakis, Manolis; Polychronaki, Maria

doi:10.1007/s00595-006-3443-y

Cited by 17 publications

(10 citation statements)

References 15 publications

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“…5 These include Meckel's diverticulum, the appendix, polyps, carcinoid tumors, submucosal hemorrhage resulting from Henoch-Schönlein purpura, non-Hodgkin's lymphoma, intestinal malignant melanoma, foreign bodies, fecaloids, intestinal duplications, and ectopic pancreas or HGM. [5][6][7] The recurrence of intussusceptions following either a surgical or nonsurgical reduction enhances the probability of congenital morphological abnormalities. [4][5][6] If the reduction involves an older child, a pathological lead point must be suspected and the possibility should be investigated during reduction.…”

Section: Discussionmentioning

confidence: 99%

Heterotopic gastric mucosa leading to recurrent intussusceptions: Report of a case

Elemen

Öz²,

Erdoğan³

2009

Surg Today

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Although most cases of intussusception during childhood are caused by viral enlargement of the Peyer's patches, the remainder of the cases may be due to congenital anomalies, such as heterotopic gastric mucosa (HGM). This report presents a case of HGM in a 4-year-old boy. The patient presented with acute abdominal signs with a right lower quadrant mass. His medical history indicated three episodes of recurrent intussusceptions. The abdominal ultrasound examination detected an intussusception. A laparotomy revealed an ileocolic intussusception and reduction was accomplished. During exploration, an intraluminal mass in the ileum, which was the lead point, was discovered by palpation. An enterotomy showed a 2-cm-diameter crater-shaped mucosal thickening. An ileal resection and anastomosis was performed. The histopathological examination revealed HGM. Heterotopic gastric mucosa is supposed to be of vitellointestinal tract origin and may cause intussusception as being a lead point in the ileum. Despite its rarity, HGM should be considered in cases of recurrent intussusceptions and diagnostic studies should be performed. A laparotomy is required for the diagnosis and treatment in complicated cases. Surgical management should include reduction of the intussusception and careful manual examination of the ileum which may expose such pathology. An intestinal resection and anastomosis is sufficient to prevent complications.

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Section: Discussionmentioning

confidence: 99%

Heterotopic gastric mucosa leading to recurrent intussusceptions: Report of a case

Elemen

Öz²,

Erdoğan³

2009

Surg Today

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“…Against this theory is the argument of spontaneous regression of a pre-or coexisting cutaneous malignant melanoma that can be as such overlooked. The concept of primary small bowel malignant melanoma remains controversial (6,7).…”

Section: Discussionmentioning

confidence: 99%

Small Bowell Malignant Melanoma-Report of Three Cases and Review of Literature

Târcoveanu

Dimofie

Dănilă

et al. 2009

Acta Chirurgica Belgica

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Malignant melanomas have a predilection to metastasize to the small bowel. Three patients with malignant melanoma involving the small bowel are reported. Two patients were operated on for small bowel obstruction and the third for gastrointestinal bleeding with anemia. Two patients remained well 6 month and 2 years, respectively, after surgery. One patient died of metastatic cerebral melanoma 6 months postoperatively. One should suspect small bowel metastasis in every patient with malignant melanoma in his past medical history, who presents with recent changes in bowel habits, intestinal obstruction or gastrointestinal bleeding. Preoperative assessment can only raise the suspicion, even with advanced imaging methods: capsule endoscopy, enteroscopy, CT or PET-CT. The only therapeutic procedure is surgical resection, offering both short term survival as well as an improvement in the quality of life. Although prognosis is dismal there are factors associated with prolonged survival: complete surgical resection with no residual primary or metastatic tumor, so-called primary small bowel tumors in patients aged more then 60 years, LDH < 200 U/L, lack of tumor spread in mesenteric lymph nodes.

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“…2 Treatment in metastatic melanotic intussusceptions with obstruction is palliative and involves resection and anastomosis of the involved segment of the gut. It relieves obstruction and also helps in the control of blood loss.…”

Section: Discussionmentioning

confidence: 99%

Jejuno-jejunal intussusception: An unusual presentation of malignant melanoma

Malik¹,

Mandia²,

Maheshwari³

et al. 2014

amj

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Jejuno-jejunal intussusception is a rare mode of metastatic melanoma presentation, with only six cases being reported in the English medical literature to date. We present a case of a 55-year-old female who presented to us with features of obstruction. On exploration, it was discovered that she had jejuno-jejunal intussusception, with enlarged blackened mesenteric lymph nodes. Resection and anastomosis were performed. On further histopathological examination, a lesion was found to be a metastatic malignant melanoma.

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Ileal Malignant Melanoma Causing Intussusception: Report of a Case

Cited by 17 publications

References 15 publications

Heterotopic gastric mucosa leading to recurrent intussusceptions: Report of a case

Heterotopic gastric mucosa leading to recurrent intussusceptions: Report of a case

Small Bowell Malignant Melanoma-Report of Three Cases and Review of Literature

Jejuno-jejunal intussusception: An unusual presentation of malignant melanoma

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