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A Case of Jejuno-Jejunal Intussusception Caused by Underlying Metastatic Melanoma
Intussusception in adults is a rare finding with a majority of cases occurring in the pediatric population. It occurs infrequently and its presentation, etiology, and treatment differ from childhood intussusception. When discovered in adults, it raises suspicion for a neoplastic process serving as t...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10103802/ https://www.ncbi.nlm.nih.gov/pubmed/37065309 http://dx.doi.org/10.7759/cureus.36217 |
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author | Ahdi, Hardeep S Kruchko, David Asado, Nahren Kakodkar, Samir |
author_facet | Ahdi, Hardeep S Kruchko, David Asado, Nahren Kakodkar, Samir |
author_sort | Ahdi, Hardeep S |
collection | PubMed |
description | Intussusception in adults is a rare finding with a majority of cases occurring in the pediatric population. It occurs infrequently and its presentation, etiology, and treatment differ from childhood intussusception. When discovered in adults, it raises suspicion for a neoplastic process serving as the pathological lead point. Cross-sectional imaging is the primary study of choice for diagnosis, but at times, a more invasive approach involving an exploratory laparotomy is required posing an increased risk for morbidity and mortality. Here we present a 64-year-old male who was found to have jejunal-jejunal intussusception that was surgically removed with pathology revealing metastatic melanoma as the lead point. This case highlights a unique presentation of a melanoma that was previously eradicated with immunotherapy and now had metastasized to the intestine many years later. |
format | Online Article Text |
id | pubmed-10103802 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-101038022023-04-15 A Case of Jejuno-Jejunal Intussusception Caused by Underlying Metastatic Melanoma Ahdi, Hardeep S Kruchko, David Asado, Nahren Kakodkar, Samir Cureus Gastroenterology Intussusception in adults is a rare finding with a majority of cases occurring in the pediatric population. It occurs infrequently and its presentation, etiology, and treatment differ from childhood intussusception. When discovered in adults, it raises suspicion for a neoplastic process serving as the pathological lead point. Cross-sectional imaging is the primary study of choice for diagnosis, but at times, a more invasive approach involving an exploratory laparotomy is required posing an increased risk for morbidity and mortality. Here we present a 64-year-old male who was found to have jejunal-jejunal intussusception that was surgically removed with pathology revealing metastatic melanoma as the lead point. This case highlights a unique presentation of a melanoma that was previously eradicated with immunotherapy and now had metastasized to the intestine many years later. Cureus 2023-03-16 /pmc/articles/PMC10103802/ /pubmed/37065309 http://dx.doi.org/10.7759/cureus.36217 Text en Copyright © 2023, Ahdi et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Gastroenterology Ahdi, Hardeep S Kruchko, David Asado, Nahren Kakodkar, Samir A Case of Jejuno-Jejunal Intussusception Caused by Underlying Metastatic Melanoma |
title | A Case of Jejuno-Jejunal Intussusception Caused by Underlying Metastatic Melanoma |
title_full | A Case of Jejuno-Jejunal Intussusception Caused by Underlying Metastatic Melanoma |
title_fullStr | A Case of Jejuno-Jejunal Intussusception Caused by Underlying Metastatic Melanoma |
title_full_unstemmed | A Case of Jejuno-Jejunal Intussusception Caused by Underlying Metastatic Melanoma |
title_short | A Case of Jejuno-Jejunal Intussusception Caused by Underlying Metastatic Melanoma |
title_sort | case of jejuno-jejunal intussusception caused by underlying metastatic melanoma |
topic | Gastroenterology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10103802/ https://www.ncbi.nlm.nih.gov/pubmed/37065309 http://dx.doi.org/10.7759/cureus.36217 |
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