Mucci Tania, Long William, Witkiewicz Agnes, Mastrangelo Michael J, Rosato Ernest L, Berger Adam C
Department of Surgery, Thomas Jefferson University, 1100 Walnut Street, MOB, Suite 500, Philadelphia, PA 19107, USA.
J Gastrointest Surg. 2007 Dec;11(12):1755-7. doi: 10.1007/s11605-007-0215-y. Epub 2007 Jul 10.
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.
胃肠道是黑色素瘤转移的常见部位，尽管小肠套叠的报道相对较少。大多数套叠患者会出现症状，手术切除可显著缓解症状。在罕见情况下，患者会出现小肠孤立性转移，手术切除可提供长期缓解并带来治愈机会。我们描述了一例广泛转移性黑色素瘤患者，该患者表现为腹部绞痛，CT检查发现小肠转移。探查发现为空肠空肠套叠，手术切除带来了极佳的症状缓解。
