De Monti M, Pacchiarini L, Cestaro G, Peloni G, Fasolini F
G Chir. 2018 May-Jun;39(3):184-187.
Intussusception is a rare condition in the adult population: it is responsible for 1% of all bowel obstructions. In most of intussusceptions a malignant tumor is involved; a lot of studies show that approximately 50% of malignant metastases causing small bowel intussusception are metastatic melanomas. In present paper a case of a small bowel intussusception probably due to metastases of an occult melanoma, in a 69-year-old patient, is presented. Surgery resection, careful research of possible primitive neoplasms and an accurate follow-up program has been the treatment of choice. All the investigations carried out did not allow to identify a possible primitive neoplasm. The last whole body PET carried out 44 months after surgery resulted disease-free.
它占所有肠梗阻病例的1%。在大多数肠套叠病例中，都涉及恶性肿瘤；许多研究表明，导致小肠肠套叠的恶性转移瘤中约50%是转移性黑色素瘤。本文介绍了一例69岁患者因隐匿性黑色素瘤转移可能导致小肠肠套叠的病例。手术切除、仔细查找可能的原发肿瘤以及精确的随访方案是首选治疗方法。所有检查均未能确定可能的原发肿瘤。术后44个月进行的最后一次全身PET检查结果显示无疾病。
