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Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, Vol. 65 No. 3, 2011.

Review article

ILEUS CAUSED BY METASTASIS OF CUTANEOUS MALIGNANT MELANOMA : CASE REPORT

JOSIP FAJDIĆ ; Department of General Surgery, Požega General County Hospital, Požega, Croatia
DRAŽEN Đurović ; Department of General Surgery, Požega General County Hospital, Požega, Croatia
NIKOLA GOTOVAC ; Department of General Surgery, Požega General County Hospital, Požega, Croatia
DAMIR GUGIĆ ; Department of Oncology and Radiology, Osijek University Hospital Center, Osijek, Croatia
TOMISLAV STASTNY ; Department of General Surgery, Požega General County Hospital, Požega, Croatia
FERDINAND SLIŠURIĆ ; Department of General Surgery, Požega General County Hospital, Požega, Croatia

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Abstract

In this case report we describe rare metastatic appearance of cutaneous malignant melanoma ( MM ) in small intestine followed by clinical appearance of acute surgical abdomen. A 42-year old women operated in our hospital in April 2009. due to unusual naevus on her right arm. Pathologicaly it was MM grossly 1.5 cm, microscopically Breslow 11 mm, Clark’s level IV (T4), number of mitosis 1.4 per mm², without ulcerations. She was sent to continue treatment at the National Referal Center for Melanoma in KB “S. milosrdnice“ Zagreb, Croatia. A month later wider excision (3 cm free margin) and sentinel lymph node biopsy (SLNB) was made there followed by axillary lymphadenectomy due to positive axillary finding. She received six cycles of chemotherapy. She arrived in our hospital in May 2010, under clinical picture of small intestine ileus and acute surgical abdomen. After preparation she was operated the same day. The cause of ileus was metastasis of MM in the small interstine. We made intestinal resection with termino-terminal anastomosis. The patient was released to home care ten days after operation without any complication. This case report demonstrates rarely described case of MM metastasis in the small intestine found causing ileus.

Keywords

skin malignant melanoma (MM); visceral metastasis; small intestine ileus

Hrčak ID:

89276

URI

https://hrcak.srce.hr/89276

Publication date:

17.10.2012.

Article data in other languages: croatian

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