Small bowel intussusception due to malignant melanoma: primary lesion or metastases? A case report

Intussusception is a rare condition in the adult population: it is responsible for 1% of all bowel obstructions. In most of intussusceptions a malignant tumor is involved; a lot of studies show that approximately 50% of malignant metastases causing small bowel intussusception are metastatic melanoma...

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Bibliographic Details
Published in:Il Giornale di chirurgia 2018-05, Vol.39 (3), p.184-187
Main Authors: De Monti, M, Pacchiarini, L, Cestaro, G, Peloni, G, Fasolini, F
Format: Article
Language:English
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Summary:Intussusception is a rare condition in the adult population: it is responsible for 1% of all bowel obstructions. In most of intussusceptions a malignant tumor is involved; a lot of studies show that approximately 50% of malignant metastases causing small bowel intussusception are metastatic melanomas. In present paper a case of a small bowel intussusception probably due to metastases of an occult melanoma, in a 69-year-old patient, is presented. Surgery resection, careful research of possible primitive neoplasms and an accurate follow-up program has been the treatment of choice. All the investigations carried out did not allow to identify a possible primitive neoplasm. The last whole body PET carried out 44 months after surgery resulted disease-free.
ISSN:0391-9005
DOI:10.11138/gchir/2017.39.3.184