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Undetected metastatic melanoma in the colon
  1. Sarah Pajek1,
  2. Walter Cisneros Lopez2,
  3. Juliet Ray2 and
  4. Rennier A Martinez2
  1. 1University Miami Miller School of Medicine, Miami, Florida, USA
  2. 2JFK Medical Center Foundation Inc, Atlantis, Florida, USA
  1. Correspondence to Sarah Pajek; spajek{at}miami.edu

Abstract

Colonic melanoma is a rarely detected aetiology of small bowel obstruction. This is a case of a male in his 80s with a history of treated stage IIIA melanoma on his trunk 7 years prior who presented with small bowel obstruction. He underwent urgent surgical intervention, where a partial colectomy was performed. Pathology revealed a 4.6 cm melanoma causing intussusception. This case highlights the insidious nature of metastatic melanomas and discusses an uncommon location of melanoma metastasis that evaded detection until a late stage.

  • Colon cancer
  • Skin cancer
  • Screening (oncology)
  • General surgery

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Footnotes

  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: SP and WCL. The following authors gave final approval of the manuscript: JR and RAM.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.