Skip to main content

Metastatic Melanoma Causing Jejunal Intussusception

Journal of Gastrointestinal Surgery volume 11, pages 1755–1757 (2007)Cite this article

Abstract

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.

This is a preview of subscription content, access via your institution.

Access options

Buy single article

Instant access to the full article PDF.

USD 39.95

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Figure 1
Figure 2

References

  1. Patel JK, Didolkar MS, Pickren JW, Moore RH. Metastatic pattern of malignant melanoma. A study of 216 autopsy cases. Am J Surg 1978;135:807–810.

    Article  PubMed  CAS  Google Scholar 

  2. Dasgupta TK, Brasfield RD. Metastatic melanoma of the gastrointestinal tract. Arch Surg 1964;88:969–973.

    PubMed  CAS  Google Scholar 

  3. Schuchter LM, Green R, Fraker D. Primary and metastatic diseases in malignant melanoma of the gastrointestinal tract. Curr Opin Oncol 2000;12:181–185.

    Article  PubMed  CAS  Google Scholar 

  4. Liang KV, Sanderson SO, Nowakowski GS, Arora AS. Metastatic malignant melanoma of the gastrointestinal tract. Mayo Clin Proc 2006;81:511–516.

    PubMed  Google Scholar 

  5. Rampone B, Roviello F, Marrelli D, De Marco G, Rossi S, Corso G, Cerullo G, Pinto E. Late recurrence of malignant melanoma presenting as small bowel intussusception. Dig Dis Sci 2006;51:1047–1048.

    Article  PubMed  Google Scholar 

  6. Berger AC, Buell JF, Venzon D, Baker AR, Libutti SK. Management of symptomatic malignant melanoma of the gastrointestinal tract. Ann Surg Oncol 1999;6:155–160.

    Article  PubMed  CAS  Google Scholar 

  7. Gatsoulis N, Roukounakis N, Kafetzis I, Gasteratos S, Mavrakis G. Small bowel intussusception due to metastatic malignant melanoma. A case report. Tech Coloproctology 2004;8(Suppl 1):s141–s143.

    Article  Google Scholar 

  8. Bilello JF, Peterson WM. Retrograde jejunojejunal intussusception secondary to metastatic melanoma. Mayo Clin Proc 2005;80:1098.

    Article  PubMed  Google Scholar 

  9. Ollila DW, Essner R, Wanek LA, Morton DL. Surgical resection for melanoma metastatic to the gastrointestinal tract. Arch Surg 1996;131:975–979.

    PubMed  CAS  Google Scholar 

  10. Gutman H, Hess KR, Kokotsakis JA, Ross MI, Guinee VF, Balch CM. Surgery for abdominal metastases of cutaneous melanoma. World J Surg 2001;25:750–758.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Thomas Jefferson University, 1100 Walnut Street, MOB, Suite 500, Philadelphia, PA, 19107, USA

    Tania Mucci, William Long, Agnes Witkiewicz, Michael J. Mastrangelo, Ernest L. Rosato & Adam C. Berger

Authors
  1. Tania Mucci
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. William Long
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Agnes Witkiewicz
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Michael J. Mastrangelo
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ernest L. Rosato
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Adam C. Berger
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Adam C. Berger.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Mucci, T., Long, W., Witkiewicz, A. et al. Metastatic Melanoma Causing Jejunal Intussusception. J Gastrointest Surg 11, 1755–1757 (2007). https://doi.org/10.1007/s11605-007-0215-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11605-007-0215-y

Keywords

  • Malignant melanoma
  • Intussusception
  • Palliation