Abstract:Jejuno-jejunal intussusception is a rare mode of metastatic melanoma presentation, with only six cases being reported in the English medical literature to date. We present a case of a 55-year-old female who presented to us with features of obstruction. On exploration, it was discovered that she had jejuno-jejunal intussusception, with enlarged blackened mesenteric lymph nodes. Resection and anastomosis were performed. On further histopathological examination, a lesion was found to be a metastatic malignant mel… Show more
“…Numerous cases of ileo-ileal intussusception have been reported in the English medical literature, but only six cases of jejuno-jejunal intussusception due to malignant melanoma are documented. (3) In literature not a single case was reported of this type from our country. So, patients with such metastatic lesions can present with features of intestinal obstruction and that too with intussusception or bleeding.…”
Section: Introductionmentioning
confidence: 79%
“…Though malignant melanoma is the most common cause of the extraabdominal source of intestinal metastasis, it is rare to find them presenting as jejuno-jejunal intussusception [7]. To date in the English medical literature, only six cases of jejuno-jejunal intussusception with melanoma as the lead point have been documented [3].…”
Section: Journal Of Clinical Surgery and Researchmentioning
Background: Small bowel intussusception is common presentation in children and rare in adults but malignant melanoma as primary cause is once in a blue moon event. It accounts for 1% of all bowel obstructions. Jejuno-Jejunal intussusception is a rare mode of metastatic malignant melanoma presentation. It may be metastatic and rarely primary cause of this type of presentation. In literature no such case s reported from our country before and perhaps seventh case of malignant melanoma as primary cause of jejuno-jejunal intussusception in literature. Case Presentation: Here we report a case of a 40 years old male who presented to us with features of intestinal obstruction. On exploration, Jejuno-Jejunal intussusception was found secondary to some mass in jejunum. Resection anastomosis of Jejunum was performed. Histopathological examination of mass revealed metastatic malignant melanoma. On further work up, CT scan abdomen showed multiple enlarged mesenteric lymph nodes and few enlarged bilateral inguinal lymph nodes. Patient post-operative recovery was uneventful and discharged. Conclusion: One should suspect metastatic melanoma as a lead point in cases of jejuno-jejunal intussusception in adults presenting with intestinal obstruction.
“…Numerous cases of ileo-ileal intussusception have been reported in the English medical literature, but only six cases of jejuno-jejunal intussusception due to malignant melanoma are documented. (3) In literature not a single case was reported of this type from our country. So, patients with such metastatic lesions can present with features of intestinal obstruction and that too with intussusception or bleeding.…”
Section: Introductionmentioning
confidence: 79%
“…Though malignant melanoma is the most common cause of the extraabdominal source of intestinal metastasis, it is rare to find them presenting as jejuno-jejunal intussusception [7]. To date in the English medical literature, only six cases of jejuno-jejunal intussusception with melanoma as the lead point have been documented [3].…”
Section: Journal Of Clinical Surgery and Researchmentioning
Background: Small bowel intussusception is common presentation in children and rare in adults but malignant melanoma as primary cause is once in a blue moon event. It accounts for 1% of all bowel obstructions. Jejuno-Jejunal intussusception is a rare mode of metastatic malignant melanoma presentation. It may be metastatic and rarely primary cause of this type of presentation. In literature no such case s reported from our country before and perhaps seventh case of malignant melanoma as primary cause of jejuno-jejunal intussusception in literature. Case Presentation: Here we report a case of a 40 years old male who presented to us with features of intestinal obstruction. On exploration, Jejuno-Jejunal intussusception was found secondary to some mass in jejunum. Resection anastomosis of Jejunum was performed. Histopathological examination of mass revealed metastatic malignant melanoma. On further work up, CT scan abdomen showed multiple enlarged mesenteric lymph nodes and few enlarged bilateral inguinal lymph nodes. Patient post-operative recovery was uneventful and discharged. Conclusion: One should suspect metastatic melanoma as a lead point in cases of jejuno-jejunal intussusception in adults presenting with intestinal obstruction.
“…The most typical metastatic lesions in the intestine are melanomas, but the occurrence of intussusception from melanoma is rare [11]. There are only six cases being reported in the English medical literature to date [12].…”
Introduction: The invagination of one intestinal loop within another rarely occurs in adults and it is usually caused by a polyp or another intraluminal lesion. Intussusceptions occur mostly in children; an organic lesion is not necessary, and colic pain syndrome, rectal bleeding, and a palpable mass (the intussuscepted segment) are characteristics. Justification: To compare data from a tertiary reference hospital with data described in the literature, considering the evolution of such patients is unknown in our field. Objective: To report the case of a patient with distal jejunal intussusception from melanoma metastasis. Method: Information was obtained through medical record reviews, patient interviews, photographic records of the diagnostic methods and the surgery to which patients were subjected, and literature review. Final considerations: The case reported and the publications surveyed bring to light the discussion on the therapeutics of the complex condition that is melanoma metastasis, showing that some patients may present satisfactory and lasting results regarding symptom relief and improvement of quality of life.
“…The treatment of complicated intestinal metastatic melanoma is palliative and appears to be small bowel resection with anastomosis to relieve obstruction and control blood loss. 5 Adjuvant palliative chemotherapy can be administered postoperatively; however, evidence of its effectiveness is currently lacking. 4 …”
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