Eng Jian Yang, Tahkin Salehah, Yaacob Huzairi, Yunus Nor Hayati, Sidek Ahmad Shan Wani Mohamed, Wong Michael Pak-Kai
Department of Surgery, Hospital Raja Perempuan Zainab II, Kota Bharu, Malaysia.
Department of Pathology, Hospital Raja Perempuan Zainab II, Kota Bharu, Malaysia.
Ann Coloproctol. 2023 Feb;39(1):85-88. doi: 10.3393/ac.2021.00143.0020. Epub 2021 Jul 21.
A 61-year-old gentleman presented with small bowel intussusception from small bowel melanoma intussusceptum. He complains of intermittent abdominal distension but no history of intestinal obstruction. Apart from this, he was also symptomatic anemia which required repeated transfusion for the past few months. The contrast-enhanced computed tomography of the abdomen shows an omental mass with small bowel intussusception. He then underwent an exploratory laparotomy with segmental resection of the affected segment. Histopathological examination confirmed primary gastrointestinal melanoma. Multiple small bowel malignant melanoma is a rare disease. It remains a controversial diagnosis as it may be a primary or metastasis from an unidentified or regressed primary cutaneous melanoma. Prompt surgical intervention enables us to obtain tissue diagnosis, prevent complete intestinal obstruction and strategize the goals of treatment for the patient.
一位61岁男性因小肠黑色素瘤套叠导致小肠套叠就诊。他主诉间歇性腹胀，但无肠梗阻病史。除此之外，他还患有症状性贫血，在过去几个月需要反复输血。腹部增强计算机断层扫描显示一个网膜肿块伴小肠套叠。随后他接受了剖腹探查术，对受累节段进行了节段性切除。组织病理学检查确诊为原发性胃肠道黑色素瘤。多发性小肠恶性黑色素瘤是一种罕见疾病。它仍然是一个有争议的诊断，因为它可能是原发性的，也可能是来自未明确或已消退的原发性皮肤黑色素瘤的转移。及时的手术干预使我们能够获得组织诊断，预防完全性肠梗阻，并为患者制定治疗目标。
