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恶性黑色素瘤肠壁内肠转移作为回肠套叠的罕见病因:一例报告并文献复习

Intramural Intestinal Metastasis of Malignant Melanoma as a Rare Cause of Ileoileal Intussusception: A Case Report and Review of the Literature.

作者信息

Amseian Gary, Soler Alexandre, Torroella Alba, Sisuashvili Lia, Escarcena Paula, Rafart Gerard

机构信息

Department of Radiology, Hospital Clínic de Barcelona, Barcelona, Spain.

Department of General and Digestive Surgery, Hospital Clínic de Barcelona, Barcelona, Spain.

出版信息

Case Rep Surg. 2025 Jan 16;2025:5556332. doi: 10.1155/cris/5556332. eCollection 2025.

Abstract

Intussusception in adults is rare and poses a diagnostic challenge, often due to neoplastic causes. Metastatic melanoma is known to spread to the gastrointestinal tract, especially the small intestine. We report the case of a patient with obstructive symptoms and a history of metastatic melanoma. An emergency abdominal computed tomography (CT) scan identified an obstruction caused by ileoileal intussusception located at the site of a previously described enteric metastasis. Following palliative surgery with ileal resection, two nodular lesions causing intussusception were identified, and pathological examination confirmed intramural metastases from melanoma. In adult patients with obstructive symptoms and a history of melanoma, intussusception secondary to intestinal metastases should be considered in the differential diagnosis.

摘要

成人肠套叠较为罕见,且常因肿瘤性病因带来诊断挑战。已知转移性黑色素瘤会扩散至胃肠道,尤其是小肠。我们报告了一例有梗阻症状且有转移性黑色素瘤病史的患者。腹部急诊计算机断层扫描(CT)发现一处梗阻,由位于先前描述的肠道转移部位的回肠-回肠套叠所致。在进行回肠切除的姑息性手术后,发现了两个导致肠套叠的结节性病变,病理检查证实为黑色素瘤的壁内转移。对于有梗阻症状且有黑色素瘤病史的成年患者,鉴别诊断时应考虑肠道转移继发的肠套叠。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ba1/11756941/fa9b28059b9b/CRIS2025-5556332.001.jpg

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