A CASE OF LAPAROSCOPIC-ASSISTED TREATMENT OF SMALL BOWEL INTUSSUSCEPTION DUE TO METASTASES FROM MALIGNANT MELANOMA - A WORD OF CAUTION

December 30, 2016
Written by Super User
Published in General Surgery

During the last four decades the laparoscopic surgery gradually underwent a full recognition and nowadays it is a “gold standard” treatment for many elective conditions and recently in wide variety of emergent conditions.

However, its use in bowel obstruction is still under debate and high-level evidence are lacking.
Herein we present a case of 36-year-old man with small bowel intussusception due to metastases from melanoma initially treated laparoscopically. Diagnostic challenges and pitfalls of laparoscopic treatment are discussed.
Multiple gastrointestinal metastases should be considered in all cases with small bowel obstruction and a history of melanoma. Although laparoscopy is increasingly used in emergency setting and appears to be feasible and safe treatment of small bowel obstruction it should be used with a caution in cases with suspected metastasized malignant melanoma.

GASTROINTESTINAL METASTASES OF MALIGNANT SKIN MELANOMA: REPORT OF 2 CASES AND REVIEW OF LITERATURE

Ventsislav Mutafchiyski¹, Georgi Kotashev¹, Mihail Tabakov², Jasmina Mihailova¹, Georgi Popivanov¹

1) Military Medical Academy, Sofia, Bulgaria.

2) UHTEM "N.I.Pirogov, Sofia, Bulgaria.

Disclosure: The author has declared no conflicts of interest.

Received: 11.09.16 Accepted: 11.10.16

Citation: 10.5455/ijsm.laparoscopy-small-bowel-intussusception

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References:

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Bibliography

Mutafchiyski, V., Kotashev, G., Tabakov, M., Mihailova, J. and Popivanov, G. (2016) ‘A case of laparoscopic-assisted treatment of small bowel intussusception due to metastases from malignant melanoma - a word of caution’, International Journal of Surgery and Medicine, 2(4), pp. 230–233. doi: 10.5455/ijsm.laparoscopy-small-bowel-intussusception.