Laparoscopic Resection of Metastatic Mucosal Melanoma Causing Jejunal Intussusception

Harvey, Kyle P.; Lin, Yu-Hsin A.; Albert, Matthew

doi:10.1097/sle.0b013e3181d7e21a

Cited by 4 publications

(1 citation statement)

References 8 publications

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“…3 To date in the English medical literature, only six cases of jejuno-jejunal intussusception with melanoma as the lead point have been documented. 1,[4][5][6][7]8 Rare reports of primary gastrointestinal melanoma have been documented. It occurs due to the malignant transformation of locally migrated primordial skin melanoblastic cells during foetal development.…”

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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Section: Discussionmentioning

confidence: 99%

Jejuno-jejunal intussusception: An unusual presentation of malignant melanoma

Malik¹,

Mandia²,

Maheshwari³

et al. 2014

amj

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Adult intussusception: a continuously unveiling clinical complex illustrating both acute (emergency) and chronic disease management

Ongom¹,

Kijjambu²

2013

OA Emergency Medicine

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Introduction Adult intussusception is a rare cause of intestinal obstruction. Its occurrence often presents clinicians with a diagnostic conundrum owing to its broad variation in clinical presentation. Over the last half century, studies have continuously contributed to the better understanding of the aetiology, diagnosis and treatment. The aim of this review is to discuss acute and chronic disease management in adult intussusception. Discussion The aetiology has multiple dimensions to its description. These include its location in the gastrointestinal tract, presence or absence of a physical or functional initiating lesion (lead point) and the behavioural characteristics of this lead point, be it benign or malignant. The symptoms and signs of intussusception are wide ranging, making it have a presentation anywhere between an acute and a chronic intestinal obstruction. Radiological investigations for diagnosis can be quite accurate in the hands of skilled and experienced radiologists. The hallmark of treatment is open or laparoscopic (operative) surgery. Conclusion This clinical entity calls for a high index of suspicion coupled with relevant radiological investigations in its diagnosis. We are observing a trend in which unique aetiologies are being unveiled to add to an evegrowing list. Even with the standard treatment being essentially surgical, there is an increasing trend towards the use of novel surgical methods such as advanced colonoscopic and laparoscopic techniques. All these factors have prompted us to generate a critical review of the literature on adult intussusception so as to give a better holistic picture of the essential critical clinical care.

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Malignant Melanoma of the Small Bowel Presenting with Intussusception in a Woman: A Case Report

Vrable

Chang

2017

Melanoma Manag.

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Primary malignant melanoma originating in the small bowel is very rare. We report the case of primary malignant melanoma of the small bowel with secondary intussusception in a 51-year-old female with no prior history of cutaneous melanoma. The patient was admitted to the hospital for clinical bowel obstruction after 6 months of varying symptoms of antecedent syncopal events secondary to profound anemia due to iron deficiency followed later by vomiting, abdominal pain and weight loss. A CT scan showed intussusception and she underwent a small bowel resection. Diagnosis of malignant melanoma was confirmed post-operatively following immunohistochemistry. The patient history and postoperative investigation excluded the existence of a primary lesion elsewhere. Our case represents an aggressive primary small bowel melanoma presenting as intussusception.

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Laparoscopic Resection of Metastatic Mucosal Melanoma Causing Jejunal Intussusception

Cited by 4 publications

References 8 publications

Jejuno-jejunal intussusception: An unusual presentation of malignant melanoma

Jejuno-jejunal intussusception: An unusual presentation of malignant melanoma

Adult intussusception: a continuously unveiling clinical complex illustrating both acute (emergency) and chronic disease management

Malignant Melanoma of the Small Bowel Presenting with Intussusception in a Woman: A Case Report

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