A rare acute abdomen cause: intestinal perforation and invagination secondary to malignant melanoma metastasis
Intestinal perforation due to malignant melanoma
Keywords:Melanoma, Intestinal neoplasms, Intestinal perforation, Intestinal obstruction
Malignant melanoma (MM) is a tumor with high metastatic potential. The small intestine is the third most common metastasis area for MM. Intestinal obstruction, intussusception, hemorrhage, and perforation have been determined as the clinical presentation in patients who were admitted to the hospital because of abdominal pain, weakness, constipation, weight loss, and palpable abdominal mass. Presentation as perforation is rarer than the other clinical presentations. We report the case of a patient with metastatic MM, who attended the emergency department because of acute abdomen. Perforation and invagination due to metastatic lesions were cured by surgical intervention. Possible metastasis should be considered in patients with active complaints or in patients scheduled for emergency intervention, as in our case, if there is a history of MM. Possible metastasis should be considered in preoperative planning, information, and anticipation of the operative procedure.
Blecker D, Abraham S, Furth EE, Kochman ML. Melanoma in the gastrointestinal tract. Am J Gastroenterol. 1999;94(12):3427-33. DOI: https://doi.org/10.1111/j.1572-0241.1999.01604.x
Cheung MC, Perez EA, Molina MA, Jin X, Gutierrez JC, Franceschi D, et al. Defining the role of surgery for primary gastrointestinal tract melanoma. J Gastrointest Surg. 2008;12(4):731-8. DOI: https://doi.org/10.1007/s11605-007-0417-3
Lens M, Bataille V, Krivokapic Z. Melanoma of the small intestine. Lancet Oncol. 2009;10(5):516-21. DOI: https://doi.org/10.1016/S1470-2045(09)70036-1
Albert JG, Helmbold P. Diagnosis of Intestinal Metastases From Malignant. Melanoma Dtsch Med Wochenschr. 2012;137(9):431-6. DOI: https://doi.org/10.1055/s-0031-1298947
Schuchter LM, Green R, Fraker D. Primary and metastatic diseases in malignant melanoma of the gastrointestinal tract. Curr Opin Oncol. 2000;12:181–5. DOI: https://doi.org/10.1097/00001622-200003000-00014
Swetter SM, Carroll LA, Johnson DL, Segall GM. Positron emission tomography is superior to computed tomography for metastatic detection in melanoma patients. Ann Surg Oncol. 2002;9:646–53. DOI: https://doi.org/10.1007/BF02574480
- 92 152
How to Cite
Copyright (c) 2022 Onur İlkay Dinçer, Aydın Dincer, Mehmet Nuri Koşar
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.