A Case with Ileoileal Intussusception Secondary to Malignant Melanoma Metastasis
58-year old male patient consulted a doctor 4 years ago with the complaint of an enlarging congenital skin spot above the navel. Pathological examination of excisional biopsy specimen of the lesion was reported as malignant melanoma (tumor thickness 0.4 cm, clark level III, clean surgical margins).
The patient who had not been re-examined during the last four years was admitted to emergency department with severe abdominal pain, nausea and vomiting. Abdominal computerized tomography examination revealed multiple metastatic lesions in the liver, the diameter of the largest lesion is being 1.5 cm, lymph nodes in mesenteric fatty tissue, the largest one is being about 2 cm and ileoileal invagination in pelvic inlet .The patient having intestinal obstruction findings was taken to operating room for urgent operation. In the operation, two separate invaginations originating from the mass in the lumen were detected. Read more>>>>>>>>>>>>>>>
OMICS Journals 