Correia de Sá Tiago, Ferreira Ana Isabel, Barreto Filomena, Santos Mariana
General Surgery Department, Centro Hospitalar Tâmega e Sousa, 4564-007, Guilhufe, Portugal.
Anatomic Pathology Department, LAP/UNILABS, 4250-170, Porto, Portugal.
J Surg Case Rep. 2021 Jan 18;2021(1):rjaa553. doi: 10.1093/jscr/rjaa553. eCollection 2021 Jan.
Intussusception is an infrequent cause of mechanical bowel obstruction in adults and surgical resection is warranted in most cases. Small bowel is a common site of recurrence from cutaneous melanoma but early diagnosis is still a challenge. Acute peritonitis, haemorrhage and obstruction are known clinical presentations. Wide surgical excision with free margins and accompanied mesentery is the treatment of choice and may improve the prognosis. We present a case of small bowel obstruction due to three intussusceptions by metastatic malignant melanoma submitted to surgery.
肠套叠是成人机械性肠梗阻的罕见原因，大多数情况下需要进行手术切除。小肠是皮肤黑色素瘤复发的常见部位，但早期诊断仍然是一项挑战。急性腹膜炎、出血和梗阻是已知的临床表现。手术切缘阴性并伴有系膜的广泛手术切除是首选治疗方法，可能会改善预后。我们报告一例因转移性恶性黑色素瘤导致三处肠套叠引起小肠梗阻并接受手术治疗的病例。
