Haemorrhagic small bowel melanoma metastasis: a clinical rarity.

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  • Additional Information
    • Source:
      Publisher: BMJ Pub. Group Country of Publication: England NLM ID: 101526291 Publication Model: Electronic Cited Medium: Internet ISSN: 1757-790X (Electronic) Linking ISSN: 1757790X NLM ISO Abbreviation: BMJ Case Rep Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BMJ Pub. Group
    • Subject Terms:
      Gastrointestinal Hemorrhage/*etiology ; Ileal Neoplasms/*complications ; Ileal Neoplasms/*diagnostic imaging ; Jejunal Neoplasms/*diagnostic imaging ; Melanoma/*complications ; Melanoma/*diagnostic imaging ; Skin Neoplasms/*pathology; Aged ; Anemia/etiology ; Capsule Endoscopy ; Fatal Outcome ; Humans ; Ileal Neoplasms/secondary ; Jejunal Neoplasms/secondary ; Male ; Melanoma/secondary
    • 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-abdomen-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.
      Competing Interests: Competing interests: None declared.
      (© BMJ Publishing Group Limited 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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    • Contributed Indexing:
      Keywords: dermatology; endoscopy; gi bleeding; small intestine; small intestine cancer
    • Publication Date:
      Date Created: 20190913 Date Completed: 20200210 Latest Revision: 20200225
    • Publication Date:
      20250114
    • Accession Number:
      PMC6738747
    • Accession Number:
      10.1136/bcr-2019-230454
    • Accession Number:
      31511264