Ileo-ileal intussusception due to small bowel melanoma

Mahteme Bekele Muleta, Desalegn Abdisa, Bereket Berhane


Gastrointestinal tract malignant melanoma is an uncommon form of neoplasm that may be either primary or metastatic. Diagnosis is often delayed until the illness becomes an emergency due to complications, such as intestinal hemorrhage, obstruction and perforation. We report a case of 42 year-old Ethiopian male patient presented to the emergency department with sign and symptoms of intestinal obstruction. The patient underwent laparotomy, ileo-ileal intussusception reduced and small bowel mass resection done. The histopathologic examination confirmed malignant small bowel melanoma. The purpose of this case report is to discuss clinical presentation and pathologic features of this rare condition with a review of the current literature.


small bowel melanoma, ileo-ileal intussusception

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Chang AE, Karnell LH, Menck HR. The national cancer data base report on cutaneous and non-cutaneous melanoma: a summary of 84,836 cases from the past decade. The American College Of Surgeons Commission On Cancer And The American Cancer Society. Cancer 1998; 83(8):1664-1678.

Patti R, Cacciatori M, Guercio G, Territo V, Di Vita G. Intestinal melanoma: A broad spectrum of clinical presentation. IJS Case Reports 2012; 3(8):395-398.

Radha S, Afroz T, Ratnakar C, Reddy AK, Satyanarayana G. Small bowel metastasis of malignant melanoma. Indian J Surg 2006; 68:222-223.

Blecker D, Abraham S, Furth EE, Kochman ML. Melanoma in the gastrointestinal tract. Am J Gastroenterol 1999; 94(12):3427-3433.

Schuchter LM, Green R, Fraker D. Primary and metastatic diseases in malignant melanoma of the gastrointestinal tract. Curr Opin Oncol 2000; 12(2):181-185.

Lens M, Bataille V, Krivokapic Z. Melanoma of the small intestine. Lancet Oncol 2009; 10(5):516-521.

Gabali AM, Priebe P, Ganesan S. Primary melanoma of small intestine masquerading as gastrointestinal stromal tumor: A case report and literature review. Am Surg 2008; 74(4):318-321.

Manouras A, Genetzakis M, Lagoudianakis E, et al. Malignant gastrointestinal melanomas of unknown origin: Should it be considered primary? World J Gastroenterol 2007; 13(29):4027-4029.

Yang WJ, Yoon DS, Lee JJ, Park CJ, Kim DH. Clinical review of the intussusception in adults. J Korean Surg Soc 1998; 55(3):388-393.

Bender GN, Maglinte DD, Mc Larney JH, Rex D, Kelvin FM. Malignant melanoma: patterns of metastasis to the small bowel, reliability of imaging studies, and clinical relevance. Am J Gastroenterol 2001; 96(8):2392-2400.

Spiridakis KG, Polichronaki EE, Sfakianakis EE, et al. Primary small bowel melanoma. A case report and a review of the literature. G Chir 2015; 36(3):128–132.


Copyright (c) 2016 Mahteme Bekele Muleta Muleta, Desalegn Abdisa, Bereket Berhane

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ISSN: 2360-6975