Intussusception due to Intestinal Metastasis from a Malignant Melanoma of the Left Finger: A Case Report

• Published in: Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) Vol. 25; no. 3; pp. 575 - 577
• Main Authors: Kudo, Katsumasa, Funayama, Yuji, Fukushima, Kouhei, Shibata, Chikashi, Takahashi, Kenichi, Ueno, Tatsuya, Hashimoto, Akihiko, Nagao, Munenori, Haneda, Syo, Watanabe, Kazuhiro, Kouyama, Atsushi, Sasaki, Iwao
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society for Abdominal Emergency Medicine 2005
• ISSN: 1340-2242; 1882-4781
• DOI: 10.11231/jaem1993.25.575

We herein report a case of a 60-year-old man with a metastatic malignant melanoma in the small bowel, which lead to invagination three years after a malignant melanoma on the first finger of his left hand had been surgically removed. His complaint was epigastralgia and vomiting. Abdominal CT scan revealed the presence of invagination of the small bowel with an intestinal tumor. At laparotomy, jejunal intussusception was identified. Reposition of the invagination and segmental resection of the jejunum with the metastatic tumor was performed. Histological study disclosed the presence of metastasis from a malignant melanoma. In conclusion, we must be aware of the possibility of gastrointestinal metastasis in patients with gastrointestinal symptoms who have previously undergone surgery for malignant melanoma of the skin.