Jejunal intussusception due to intestinal metastasis of cutaneous malignant melanoma: clinical case report.
Melanoma is a malignant neoplasm that predominantly affects the skin and accounts for 1–3% of all neoplasms. It is characterized by its high metastatic potential, frequently involving the gastrointestinal tract, with the jejunum and ileum being the most commonly affected sites. Most patients with ga...
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| Language: | Spanish English Portuguese |
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2025
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| Online Access: | https://revista.scu.org.uy/index.php/cir_urug/article/view/5863 |
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| _version_ | 1868890187008835584 |
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| author | Invernizzi, Mariana |
| author2 | Ormachea, Ernesto Valsangiacomo, Pablo |
| author2_role | author author |
| author_browse | Invernizzi, Mariana Ormachea, Ernesto Valsangiacomo, Pablo |
| author_facet | Invernizzi, Mariana Ormachea, Ernesto Valsangiacomo, Pablo |
| author_role | author |
| collection | Revista Cirugía del Uruguay |
| dc.creator.none.fl_str_mv | Invernizzi, Mariana Ormachea, Ernesto Valsangiacomo, Pablo |
| dc.date.none.fl_str_mv | 2025-06-25 |
| dc.format.none.fl_str_mv | application/pdf video/mp4 video/mp4 video/mp4 text/xml |
| dc.identifier.none.fl_str_mv | https://revista.scu.org.uy/index.php/cir_urug/article/view/5863 10.31837/cir.urug/9.1.8 |
| dc.language.none.fl_str_mv | spa eng por |
| dc.publisher.none.fl_str_mv | Sociedad de Cirugía del Uruguay |
| dc.relation.none.fl_str_mv | https://revista.scu.org.uy/index.php/cir_urug/article/view/5863/5655 https://revista.scu.org.uy/index.php/cir_urug/article/view/5863/5656 https://revista.scu.org.uy/index.php/cir_urug/article/view/5863/5657 https://revista.scu.org.uy/index.php/cir_urug/article/view/5863/5658 https://revista.scu.org.uy/index.php/cir_urug/article/view/5863/5660 |
| dc.rights.none.fl_str_mv | https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess CreativeCommons by/4.0 |
| dc.source.none.fl_str_mv | Cirugía del Uruguay; Vol. 9 No. 1 (2025): Cirugía del Uruguay; ecir.urug.9.1.8 Cirugía del Uruguay; Vol. 9 Núm. 1 (2025): Cirugía del Uruguay; ecir.urug.9.1.8 Cirugía del Uruguay; v. 9 n. 1 (2025): Cirugía del Uruguay; ecir.urug.9.1.8 1688-1281 0009-7381 reponame:Revista Cirugía del Uruguay instname:Sociedad de Cirugía del Uruguay instacron:Sociedad de Cirugía del Uruguay |
| dc.subject.none.fl_str_mv | Melanoma metástasis intestino delgado intususcepción Melanoma metastasis small bowel intussusception Melanoma metástase intestino delgado intussuscepção |
| dc.title.none.fl_str_mv | Jejunal intussusception due to intestinal metastasis of cutaneous malignant melanoma: clinical case report. Intususcepción de yeyuno por metástasis intestinal de melanoma maligno cutáneo: reporte de caso clínico Intussuscepc?a?o jejunal por meta?stase intestinal de melanoma maligno cuta?neo: relato de caso cli?nico. |
| dc.type.none.fl_str_mv | info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/publishedVersion |
| description | Melanoma is a malignant neoplasm that predominantly affects the skin and accounts for 1–3% of all neoplasms. It is characterized by its high metastatic potential, frequently involving the gastrointestinal tract, with the jejunum and ileum being the most commonly affected sites. Most patients with gastrointestinal metastases are asymptomatic or present with nonspecific symptoms. Complications are uncommon; among them, intestinal obstruction is notable, with intussusception being a rare form of presentation. The aim of this report is to present the clinical case of a 63-year-old male patient with a previous diagnosis of cutaneous malignant melanoma who, two years later, presented with clinical and imaging findings consistent with intestinal obstruction. An emergency laparotomy was performed, revealing an intussusception at the jejunal level and a nodular mass in the mesentery. Segmental resection with anastomosis was carried out. Histopathological analysis confirmed cutaneous melanoma metastasis. The early detection of gastrointestinal metastases presents a true diagnostic challenge. Given the high frequency of metastatic involvement of the jejunum and ileum, a high index of suspicion is essential in the presence of nonspecific symptoms such as abdominal pain, systemic compromise, and/or anemia. In such cases, diagnostic studies with greater accuracy such as positron emission tomography combined with computed tomography (PET-CT) and capsule endoscopy should be considered. Surgical treatment of gastrointestinal metastases has been shown to improve prognosis and increase survival, compared to patients with unresected metastatic disease. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | anni_c4b8c7127fd722eebfc71db2b80c8d89 |
| identifier_str_mv | 10.31837/cir.urug/9.1.8 |
| instacron_str | Sociedad de Cirugía del Uruguay |
| institution | Sociedad de Cirugía del Uruguay |
| instname_str | Sociedad de Cirugía del Uruguay |
| language | spa eng por |
| network_acronym_str | anni |
| network_name_str | oai-lr-anni |
| oai_identifier_str | oai:ojs2.revista.scu.org.uy:article/5863 |
| publishDate | 2025 |
| publishDateSort | 2025 |
| publisher.none.fl_str_mv | Sociedad de Cirugía del Uruguay |
| reponame_str | Revista Cirugía del Uruguay |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | https://creativecommons.org/licenses/by/4.0 CreativeCommons by/4.0 |
| spelling | Jejunal intussusception due to intestinal metastasis of cutaneous malignant melanoma: clinical case report. Intususcepción de yeyuno por metástasis intestinal de melanoma maligno cutáneo: reporte de caso clínicoIntussuscepc?a?o jejunal por meta?stase intestinal de melanoma maligno cuta?neo: relato de caso cli?nico. Invernizzi, MarianaOrmachea, ErnestoValsangiacomo, PabloMelanomametástasisintestino delgadointususcepciónMelanomametastasissmall bowelintussusceptionMelanomametástaseintestino delgadointussuscepçãoMelanoma is a malignant neoplasm that predominantly affects the skin and accounts for 1–3% of all neoplasms. It is characterized by its high metastatic potential, frequently involving the gastrointestinal tract, with the jejunum and ileum being the most commonly affected sites. Most patients with gastrointestinal metastases are asymptomatic or present with nonspecific symptoms. Complications are uncommon; among them, intestinal obstruction is notable, with intussusception being a rare form of presentation. The aim of this report is to present the clinical case of a 63-year-old male patient with a previous diagnosis of cutaneous malignant melanoma who, two years later, presented with clinical and imaging findings consistent with intestinal obstruction. An emergency laparotomy was performed, revealing an intussusception at the jejunal level and a nodular mass in the mesentery. Segmental resection with anastomosis was carried out. Histopathological analysis confirmed cutaneous melanoma metastasis. The early detection of gastrointestinal metastases presents a true diagnostic challenge. Given the high frequency of metastatic involvement of the jejunum and ileum, a high index of suspicion is essential in the presence of nonspecific symptoms such as abdominal pain, systemic compromise, and/or anemia. In such cases, diagnostic studies with greater accuracy such as positron emission tomography combined with computed tomography (PET-CT) and capsule endoscopy should be considered. Surgical treatment of gastrointestinal metastases has been shown to improve prognosis and increase survival, compared to patients with unresected metastatic disease.El melanoma es una neoplasia maligna que afecta predominantemente la piel, representa entre el 1-3% de todas las neoplasias. Se caracteriza por su alta capacidad metastásica, afectando con frecuencia el tracto gastrointestinal, siendo el yeyuno y el íleon los sitios más comúnmente comprometidos. La mayoría de los pacientes con metástasis gastrointestinal cursan en forma asintomática o presentan síntomas inespecíficos. Las complicaciones son poco frecuentes, destacándose entre ellas la oclusión intestinal, siendo la intususcepción una forma de presentación rara. El objetivo del presente trabajo es reportar el caso clínico de un paciente de sexo masculino de 63 años con diagnóstico previo de melanoma cutáneo maligno, que dos años después se presentó con un cuadro clínico e imagenológico compatible con oclusión intestinal. Se realizó una laparotomía de urgencia, evidenciándose una intususcepción a nivel del yeyuno y un conglomerado nodular en el mesenterio. Se procedió a la resección segmentaria con anastomosis. El estudio anatomopatológico confirmó metástasis de melanoma cutáneo. La detección temprana de metástasis gastrointestinal representa un verdadero desafío diagnóstico. Dada la alta frecuencia de la afectación metastásica del yeyuno e íleon, se debe tener un alto índice de sospecha ante la presencia de síntomas inespecíficos como dolor abdominal, repercusión general, y/o anemia. En estos casos deberá considerarse la realización de estudios que han demostrado mayor precisión diagnóstica como la Tomografía por Emisión de Positrones combinada con Tomografía Computarizada (PET-TC) y la cápsula endoscópica. El tratamiento quirúrgico de las metástasis gastrointestinales ha demostrado una mejora del pronóstico y aumento de la sobrevida, en comparación con aquellos pacientes con enfermedad metastásica no resecada. O melanoma é uma neoplasia maligna que afeta predominantemente a pele, representando entre 1-3% de todas as neoplasias. Caracteriza-se pela sua alta capacidade metastática, afetando frequentemente o trato gastrointestinal, sendo o jejuno e o íleo os sítios mais comumente comprometidos. A maioria dos pacientes com metástases gastrointestinais permanece assintomática ou apresenta sintomas inespecíficos. As complicações são pouco frequentes, destacando-se entre elas a obstrução intestinal, sendo a intussuscepção uma forma rara de apresentação. O objetivo do presente trabalho é relatar o caso clínico de um paciente do sexo masculino, de 63 anos, com diagnóstico prévio de melanoma cutâneo maligno, que dois anos depois apresentou quadro clínico e achados de imagem compatíveis com obstrução intestinal. Foi realizada laparotomia de urgência, evidenciando-se uma intussuscepção a nível do jejuno e um conglomerado nodular no mesentério. Procedeu-se à ressecção segmentar com anastomose. O estudo anatomopatológico confirmou metástase de melanoma cutâneo. A detecção precoce de metástases gastrointestinais representa um verdadeiro desafio diagnóstico. Dada a alta frequência de acometimento metastático do jejuno e íleo, deve-se manter um alto índice de suspeição na presença de sintomas inespecíficos como dor abdominal, comprometimento do estado geral e/ou anemia. Nestes casos, deve-se considerar a realização de exames que demonstraram maior precisão diagnóstica, como a Tomografia por Emissão de Pósitrons combinada com Tomografia Computadorizada (PET-TC) e a cápsula endoscópica. O tratamento cirúrgico das metástases gastrointestinais demonstrou melhora no prognóstico e aumento da sobrevida, em comparação com aqueles pacientes com doença metastática não ressecada.Sociedad de Cirugía del Uruguay2025-06-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/publishedVersionapplication/pdfvideo/mp4video/mp4video/mp4text/xmlhttps://revista.scu.org.uy/index.php/cir_urug/article/view/586310.31837/cir.urug/9.1.8Cirugía del Uruguay; Vol. 9 No. 1 (2025): Cirugía del Uruguay; ecir.urug.9.1.8Cirugía del Uruguay; Vol. 9 Núm. 1 (2025): Cirugía del Uruguay; ecir.urug.9.1.8Cirugía del Uruguay; v. 9 n. 1 (2025): Cirugía del Uruguay; ecir.urug.9.1.81688-12810009-7381reponame:Revista Cirugía del Uruguayinstname:Sociedad de Cirugía del Uruguayinstacron:Sociedad de Cirugía del Uruguayspaengporhttps://revista.scu.org.uy/index.php/cir_urug/article/view/5863/5655https://revista.scu.org.uy/index.php/cir_urug/article/view/5863/5656https://revista.scu.org.uy/index.php/cir_urug/article/view/5863/5657https://revista.scu.org.uy/index.php/cir_urug/article/view/5863/5658https://revista.scu.org.uy/index.php/cir_urug/article/view/5863/5660https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCreativeCommons by/4.0oai:ojs2.revista.scu.org.uy:article/58632026-06-16T04:54:51Z |
| spellingShingle | Jejunal intussusception due to intestinal metastasis of cutaneous malignant melanoma: clinical case report. Invernizzi, Mariana Melanoma metástasis intestino delgado intususcepción Melanoma metastasis small bowel intussusception Melanoma metástase intestino delgado intussuscepção |
| status_str | publishedVersion |
| title | Jejunal intussusception due to intestinal metastasis of cutaneous malignant melanoma: clinical case report. |
| title_full | Jejunal intussusception due to intestinal metastasis of cutaneous malignant melanoma: clinical case report. |
| title_fullStr | Jejunal intussusception due to intestinal metastasis of cutaneous malignant melanoma: clinical case report. |
| title_full_unstemmed | Jejunal intussusception due to intestinal metastasis of cutaneous malignant melanoma: clinical case report. |
| title_short | Jejunal intussusception due to intestinal metastasis of cutaneous malignant melanoma: clinical case report. |
| title_sort | Jejunal intussusception due to intestinal metastasis of cutaneous malignant melanoma: clinical case report. |
| topic | Melanoma metástasis intestino delgado intususcepción Melanoma metastasis small bowel intussusception Melanoma metástase intestino delgado intussuscepção |
| url | https://revista.scu.org.uy/index.php/cir_urug/article/view/5863 |