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Distant melanoma causing small bowel obstruction

Small bowel obstructions (SBOs) are common. Adhesions make up the majority of cases at 84.9%, followed by abdominal herniae and malignancies. A 71-year-old female presented with total constipation, abdominal distension, on a background of resected cutaneous melanoma nine years prior. A CT-scan showe...

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Autores principales: Hintze, Justin M., O'Connor, Donal B., Molony, Peter, Neary, Paul C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5400442/
https://www.ncbi.nlm.nih.gov/pubmed/28458829
http://dx.doi.org/10.1093/jscr/rjx020
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author Hintze, Justin M.
O'Connor, Donal B.
Molony, Peter
Neary, Paul C.
author_facet Hintze, Justin M.
O'Connor, Donal B.
Molony, Peter
Neary, Paul C.
author_sort Hintze, Justin M.
collection PubMed
description Small bowel obstructions (SBOs) are common. Adhesions make up the majority of cases at 84.9%, followed by abdominal herniae and malignancies. A 71-year-old female presented with total constipation, abdominal distension, on a background of resected cutaneous melanoma nine years prior. A CT-scan showed small bowel intussusception and disseminated mucosal-enhancing lesions consistent with metastases. She was brought to the operating theatre where six areas of intussusception were identified and manually reduced. Biopsies confirmed the diagnosis of melanoma. Melanoma of the gastrointestinal tract (GIT) is rare, with most cases occurring as metastasis from cutaneous lesions. Melanomas of the GIT are usually asymptomatic in their early stages, and are often diagnosed when complications, such as obstruction or perforation occur. Management of such cases consists mainly of surgical intervention to resolve the complication. In people who present with SBO without previous surgeries or herniae, a malignant cause must be considered.
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spelling pubmed-54004422017-04-28 Distant melanoma causing small bowel obstruction Hintze, Justin M. O'Connor, Donal B. Molony, Peter Neary, Paul C. J Surg Case Rep Case Report Small bowel obstructions (SBOs) are common. Adhesions make up the majority of cases at 84.9%, followed by abdominal herniae and malignancies. A 71-year-old female presented with total constipation, abdominal distension, on a background of resected cutaneous melanoma nine years prior. A CT-scan showed small bowel intussusception and disseminated mucosal-enhancing lesions consistent with metastases. She was brought to the operating theatre where six areas of intussusception were identified and manually reduced. Biopsies confirmed the diagnosis of melanoma. Melanoma of the gastrointestinal tract (GIT) is rare, with most cases occurring as metastasis from cutaneous lesions. Melanomas of the GIT are usually asymptomatic in their early stages, and are often diagnosed when complications, such as obstruction or perforation occur. Management of such cases consists mainly of surgical intervention to resolve the complication. In people who present with SBO without previous surgeries or herniae, a malignant cause must be considered. Oxford University Press 2017-02-10 /pmc/articles/PMC5400442/ /pubmed/28458829 http://dx.doi.org/10.1093/jscr/rjx020 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2017. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Hintze, Justin M.
O'Connor, Donal B.
Molony, Peter
Neary, Paul C.
Distant melanoma causing small bowel obstruction
title Distant melanoma causing small bowel obstruction
title_full Distant melanoma causing small bowel obstruction
title_fullStr Distant melanoma causing small bowel obstruction
title_full_unstemmed Distant melanoma causing small bowel obstruction
title_short Distant melanoma causing small bowel obstruction
title_sort distant melanoma causing small bowel obstruction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5400442/
https://www.ncbi.nlm.nih.gov/pubmed/28458829
http://dx.doi.org/10.1093/jscr/rjx020
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