Small bowel intussusception due to metastatic malignant melanoma. A case report

Gatsoulis, N.; Roukounakis, Nikolaos; Kafetzis, I; Gasteratos, S.; Mavrakis, Georgios

doi:10.1007/s10151-004-0137-6

Cited by 21 publications

(16 citation statements)

References 5 publications

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“…Laparotomy did not reveal any additional pathology aside from four mesenteric lymph nodes. 7 The patient survived the procedure and was free of recurrence 3 months after the operation. In another case, a patient with a large, fungating mass on his back presented with abdominal pain, and laparotomy revealed a jejunal intussusception, which was successfully resected.…”

Section: Discussionmentioning

confidence: 95%

Metastatic Melanoma Causing Jejunal Intussusception

Mucci

Long

Witkiewicz

et al. 2007

Journal of Gastrointestinal Surgery

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The gastrointestinal (GI) tract is a common site of melanoma metastases although reports of small bowel intussusception are relatively rare. Most patients with intussusception will be symptomatic and resection will provide significant palliation. In rare instances, patients will have solitary metastases to the small intestine, and resection can provide long-term palliation and chance for cure. We describe a case of a patient with a widely metastatic melanoma who presented with crampy abdominal pain and CT findings of small bowel metastases. Exploration revealed jejunojejunal intussusception and resection provided excellent palliation.

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Section: Discussionmentioning

confidence: 95%

Metastatic Melanoma Causing Jejunal Intussusception

Mucci

Long

Witkiewicz

et al. 2007

Journal of Gastrointestinal Surgery

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“…Malignant melanoma is the most common tumor that metastazises to the GIT [4][5][6]. The small bowel is the most common site of GIT for melanoma metastases (35%-97%), followed by the colon, stomach and duodenum, oral cavity and esophagus [6][7][8][9][10]. One third of patients with metastases have two or more parts of the GIT involved.…”

Section: Discussionmentioning

confidence: 99%

Metastatic lesions in the gastroduodenum — an unusual manifestation of malignant melanoma and pulmonary adenocarcinoma

Benedeto-Stojanov¹,

Bjelaković²,

Milentijević³

et al. 2014

Open Medicine

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AbstractThe gastrointestinal tract (GIT) is an unusual site for metastasis. The rate of GIT metastases detected clinically is very low because of unspecific symptoms and signs of GIT involvement, which include general weakness, tiredness, weight loss, unspecific abdominal pain, fatigue, and anemia. We report clinical, endoscopic, and pathological patterns of two patients (malignant melanoma and primary lung tumor) with metastatic lesions in the gastroduodenum. The first case is a 59-year-old man with unspecific symptoms as nausea, vomiting and abdominal pain. He underwent resection of skin melanoma on his back one year before. Upper gastrointestinal endoscopy revealed two melanotic polypoid masses with ulcerations at the tip, one in the stomach and one in the duodenal bulb. Endoscopic biopsy of these polypoid masses and immunohistochemical stains confirmed the diagnosis of metastatic malignant melanoma. The second case is a 73-year-old man with a two-day history of melena and unspecific abdominal pain. Three weeks before, the patient was operated on for the adenocarcinoma of the lung. Endoscopy of the upper gastrointestinal tract revealed irregular polypoid mass with ulcerations at the tip: three of the stomach mucosa, two in the duodenal bulb and more than ten hemorrhagic polypoid masses at the desendent duodenum. Biopsies of these lesions confirmed the diagnosis of metastatic lung adenocarcinoma. In patients with a history of malignant melanoma and lung cancer unspecific symptoms, like abdominal pain, anemia, and gastrointestinal bleeding gastroduodenal metastases should be suspected. The diagnosis requires careful endoscopic examinations of the mucosa for metastatic lesions and biopsy with special immunohistochemical stains.

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“…Most were due to small bowel metastases of malignant melanoma (n = 16), [13][14][15][16][17][18][19][20][21][22] followed by lung tumors (n = 8), 8,9,[23][24][25][26] renal cell carcinoma (n = 4), [27][28][29][30] and osteosarcoma (n = 2). 11,31 Other tumor entities, such as hepatocellular carcinoma, 32 angiosarcoma, 33 thyroid carcinoma, 34 testicular germ cell carcinoma, 35 leiomyosarcoma of the uterus, 36 malignant fi brous histiocytoma, 37 or retroperitoneal liposarcoma, 38 have been reported sporadically as single case reports (Table 1).…”

Section: Discussionmentioning

confidence: 99%

Adult jejunojejunal intussusception caused by metastasized pleomorphic carcinoma of the lung: Report of a case

Shi¹,

Gaebelein²,

Hildebrandt³

et al. 2009

Surg Today

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Adult small-intestinal intussusception is rare and very different from childhood intussusception. Both benign and malignant pathologies can underlie small intestinal intussusception in adults, but malignancy is much less frequent. We report a case of jejunojejunal intussusception caused by an intestinal metastasis of the sarcomatoid component of pleomorphic carcinoma of the right lung. The patient, a 61-year-old man, underwent successful segmental jejunal resection. Adult small bowel intussusception, though an unusual cause of acute abdomen, requires early diagnosis and timely management. To our knowledge, this is the first report of adult jejunojejunal double intussusception caused by metastatic sarcomatoid carcinoma of the lung.

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Small bowel intussusception due to metastatic malignant melanoma. A case report

Cited by 21 publications

References 5 publications

Metastatic Melanoma Causing Jejunal Intussusception

Metastatic Melanoma Causing Jejunal Intussusception

Metastatic lesions in the gastroduodenum — an unusual manifestation of malignant melanoma and pulmonary adenocarcinoma

Adult jejunojejunal intussusception caused by metastasized pleomorphic carcinoma of the lung: Report of a case

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