@article {Zoumpose230454, author = {Alexandros Zoumpos and Ngoc Anh Huy Ho and Ralf Loeschhorn-Becker and Frank Schuppert}, title = {Haemorrhagic small bowel melanoma metastasis: a clinical rarity}, volume = {12}, number = {9}, elocation-id = {e230454}, year = {2019}, doi = {10.1136/bcr-2019-230454}, publisher = {BMJ Specialist Journals}, abstract = {We report on a clinical case with haemorrhagic small bowel metastases in a malignant melanoma patient with anaemia, diagnosed using small bowel video capsule endoscopy (VCE). A 67-year-old male patient with a previous diagnosis of malignant melanoma presented with anaemia and vertigo on admission. The standard diagnostic protocol for gastrointestinal (GI) bleeding investigation including a gastroscopy, colonoscopy and small bowel capsule endoscopy, as well as abdominal sonography and a restaging protocol including chest{\textendash}abdomen{\textendash}pelvis CT (CAP-CT), echocardiography and ECG was applied. Gastroscopy and colonoscopy were not conclusive in determining the bleeding source. VCE provided evidence for numerous haemorrhagic small bowel metastases. The CAP-CT was unremarkable for small bowel findings. Due to a diffuse metastatic disease diagnosed in heart, brain, liver, spleen and bone metastasis, the patient was treated in a conservative/palliative manner. VCE can provide precious information about GI bleeding of unknown origin when classical diagnostic methods are non-conclusive.}, URL = {https://casereports.bmj.com/content/12/9/e230454}, eprint = {https://casereports.bmj.com/content/12/9/e230454.full.pdf}, journal = {BMJ Case Reports CP} }