Year 2020 / Volume 112 / Number 9
Digestive Diseases Image
Enteroscopy in the diagnosis of melanoma metastases

735-736

DOI: 10.17235/reed.2020.6820/2019

María del Mar Díaz Alcázar, Antonio José Ruiz-Rodríguez, Francisco Javier Casado Caballero, Alicia Martín-Lagos Maldonado,

Abstract
We present abdominal computed tomography and enteroscopy images of a 48-year-old male patient with a previous melanoma who presented with epigastric pain. The pain was not controlled with medical management. Abdominal computed tomography and a histological study of biopsies form enteroscopy confirmed the diagnosis of metastatic melanoma. The gastrointestinal involvement of melanoma is usually metastatic. Symptomatic gastrointestinal involvement occurs in less than 5% of melanomas, although postmortem analyses have reported up to 70%. The clinical presentation is variable and usually presents as abdominal pain. The diagnosis of small intestinal involvement of melanoma is a challenge due to its poor accessibility. The enteroscopy has a fundamental role as it allows a direct visualization and biopsies to be taken for histological study.
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References
1. Asad-Ur-Rahman F, Abbass A, Majeed U, et al. Melanoma metastasizing to the small intestine: a case report illustrating symptomatic and asymptomatic involvement. Cureus 2016;8(5):e608.
2. Atiq O, Khan AS, Abrams GA. Metastatic amelanotic melanoma of the jejunum diagnosed on capsule endoscopy. Gastroenterol Hepatol (N Y) 2012;8(10):691-3.
3. Lopez RG, Santome PM, Porto EI, et al. Intestinal perforation due to cutaneous malignant melanoma mestastatic implants. Rev Esp Enferm Dig 2011;103(7):386-8.
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Díaz Alcázar M, Ruiz-Rodríguez A, Casado Caballero F, Martín-Lagos Maldonado A. Enteroscopy in the diagnosis of melanoma metastases. 6820/2019


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Publication history

Received: 15/12/2019

Accepted: 19/12/2019

Online First: 14/02/2020

Published: 10/09/2020

Article Online First time: 61 days

Article editing time: 270 days


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