Chen Yukai, Liu Zhongjie, Wu Yu, Zhu Xiangxi, Wang Honglei
Graduate School, Tianjin Medical University, Tianjin, CHN.
Department of Gastrointestinal Surgery, Tianjin Hospital of ITCWM Nankai Hospital, Tianjin, CHN.
Cureus. 2024 Aug 30;16(8):e68191. doi: 10.7759/cureus.68191. eCollection 2024 Aug.
Adult intussusception is an unusual condition that is infrequently associated with malignancy. We experienced a rare occurrence of ileocecal intussusception in a 31-year-old male, secondary to metastatic melanoma. The patient, with a medical history of scalp malignant melanoma treated surgically and with chemotherapy, presented with persistent lower abdominal pain. Diagnostic modalities, including computed tomography (CT) and colonoscopy, revealed ileocecal intussusception. Subsequent laparoscopic surgery and pathological examination identified metastatic melanoma as the etiological factor for the intussusception, leading to the surgical resection of the involved bowel segment. The postoperative period was marked by a smooth recovery with no complications. This case shows the importance of considering malignancy in the differential diagnosis of adult intussusception and underscores the urgency of surgical intervention in the management of such cases.
成人肠套叠是一种不常见的病症,很少与恶性肿瘤相关。我们遇到一例罕见的31岁男性回盲部肠套叠,继发于转移性黑色素瘤。该患者有头皮恶性黑色素瘤手术及化疗病史,出现持续性下腹痛。包括计算机断层扫描(CT)和结肠镜检查在内的诊断方法显示为回盲部肠套叠。随后的腹腔镜手术及病理检查确定转移性黑色素瘤为肠套叠的病因,遂对受累肠段进行手术切除。术后恢复顺利,无并发症。该病例显示了在成人肠套叠鉴别诊断中考虑恶性肿瘤的重要性,并强调了对此类病例进行手术干预的紧迫性。