Primary jejunal melanoma as a cause of adult intussusception: a case report and review of literature
- Resource Type
- Authors
- Kazeem O O Ibrahim; Olaleke Oluwasegun Folaranmi; Adedire Timilehin Adenuga; SA Olatoke; Bashir Lawal; S. O. Agodirin
- Source
- The Pan African Medical Journal
- Subject
- medicine.medical_specialty
Abdominal pain
Jejunal melanoma
Metastatic lesions
Jejunal Neoplasms
business.industry
Melanoma
Nigeria
Case Report
General Medicine
Middle Aged
medicine.disease
Dermatology
Abdominal Pain
Intussusception (medical disorder)
medicine
Humans
adult intussusception
Female
In patient
medicine.symptom
business
Intussusception
Intestinal Obstruction
- Language
- ISSN
- 1937-8688
Primary melanoma of the small bowel is a rare clinical entity with a paucity of published reports in literature. Most cases of gastrointestinal melanomas are metastatic lesions arising from skin or ocular origins. This is a case report of a 63 year old female with adult intussusception with jejunal melanoma as the lead point. The index patient had a long history of abdominal pain associated with significant weight loss and presented with features of intestinal obstruction. The possibility of a regressed or unidentified extra-intestinal site cannot be absolutely excluded as the patient did not have a PET scan. Due to the vague nature of clinical symptoms and signs, the diagnosis of small bowel melanoma is difficult, especially in patients with no obvious cutaneous pathology. A high index of suspicion for melanoma as a malignant lead point for adult intussusception should always be entertained.