Recurrent intussusception as initial manifestation of primary intestinal melanoma:Case report and literature review

作     者：Konstantinos Kouladouros Daniel Grtner Steffen Münch Mario Paul Michael R Schn 

作者机构：Department of General SurgerySt?dtisches Klinikum 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2015年第21卷第10期

页      面：3114-3120页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：General surgery Intestinal neoplasms Intestinal ob 

摘      要：Enteric intussusception caused by primary intestinalmalignant melanoma is a very rare cause of *** herein present a case of a 42-yearold female patient with no prior medical history ofmalignant melanoma,who was admitted with persistentabdominal pain,nausea,and vomiting.A computedtomography scan revealed an intestinal obstruction dueto ileocolic *** emergency laparoscopy and subsequent laparotomy revealed multiple small solid tumors across the whole small *** oncologic resection was not feasible due to the insufficient length of the remaining small *** a small segment of ileum,which included the largest tumors causing the intussusception,was *** pathologic examination revealed two intestinal malignant melanoma lesions.A systematic clinical examination,endoscopic procedures,and fluorodeoxyglucose positron emission tomography-computed tomography scan all failed to reveal any indication of cutaneous,anal,or retinal ***,the tumor was classified as a primary intestinal malignant melanoma with multiple intestinal *** a complete oncologic resection of tumors was not possible,in order to prevent future intestinal obstruction,a surgical resection of the largest lesions was performed with palliative *** epidemiology,clinical m a n i fe s t a t i o n s,d i a g n o s i s a n d m a n a g e m e n t o f primary intestinal malignant melanoma,and intestinal intussusception in adults are discussed along with a review of the current literature.