Department of Surgery, The University of Tennessee Health Science Center College of Medicine Chattanooga, Chattanooga, TN, USA.
Am Surg. 2023 Jul;89(7):3275-3277. doi: 10.1177/00031348231161689. Epub 2023 Feb 28.
Small bowel is a well-described site of malignant melanoma; however, it is a rare cause of intussusception. A patient presented with malignant melanoma causing jejunojejunal intussusception 11 years after resection of melanoma-in-situ. The patient was managed with exploration and resection. Despite complete resection of melanoma-in-situ and limited literature about its metastatic potential, malignant melanoma as a lead point for intussusception should be on the differential for any patient with pertinent history. To our knowledge, this appears to be the first case of melanoma-in-situ causing small bowel intussusception.
小肠是恶性黑色素瘤的一个明确好发部位;然而,它很少引起肠套叠。一位患者在原位黑色素瘤切除 11 年后,因恶性黑色素瘤引起空肠空肠套叠而就诊。该患者接受了探查和切除。尽管原位黑色素瘤已完全切除,且有关其转移潜能的文献有限,但对于任何具有相关病史的患者,都应将黑色素瘤作为肠套叠的鉴别诊断。据我们所知,这似乎是首例原位黑色素瘤引起小肠套叠的病例。