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Abdominal Pain due to Primary Malignant Melanoma of the Small Intestine

Year 2014, Volume 36, Issue 2, 03.07.2015

Abstract

ABSTRACT: To describe a patient presented with abdominal pain due to primary malignant melanoma of the small intestine. A 73-yr-old presented with anorexia, weight loss, colicky abdominal pain. Upper GI tract endoscopic and colonoscopic findings were normal. CT scan of the abdomen revealed a solid tumor, possibly originating from the distal jejenal segments as diffuse thickening of the intestinal wall, dilatation of the proximal segments of the intestine and mesenteric lymph node enlargement. Exploration laparotomy revealed a solid tumor, causing invagination, 4x3 cm. in size, approximately 60 cm. from the treitz.  Histopathological examination of the resected specimen made the diagnosis of malignant melanoma. The search for the primary site was negative. After the wide excision of the tumor and mesenteric lymph nodes, six months after the operation the patient remains well. Primary malignant melanoma of the small intestine is a rare condition that surgical intervention give the best chance for effective palliation and disease-free survival.

KEY WORDS: Primary  malignant melanoma, small intestine.

 

ÖZET: İnce bağırsağın primer malign melanomu nedeniyle karın ağrısı tanımlayan bir hasta sunuldu.73 yaşında erkek hasta anoreksi, kilo kaybı ve kolik abdominal ağrı ile başvurdu. Üst gastrointestinal endoskopisi ve kolonoskopisi normaldi. Abdomen CT’sinde distal jejenal ansı diffüz incelten ve proksimal segmentte dilatasyon yaratan solid kitle görüldü. Eksplorasyon laparatomisinde Treitz ligamanından yaklaşık 60cm mesafede 4x3cm solid tümöre ulaşıldı. Histopatolojik tanısı malign melanom olarak konuldu. Primer tümör araması negatifti. Tümör ve lenf nodları geniş eksize edildi ve operasyondan 6 ay sonra hasta halen iyiydi. İnce bağırsaklarda primer malign melanom nadir bir durumdur ve efektif palyasyon ve hastalıksız sağ kalım için cerrahi hastaya verilen en iyi şanstır.

ANAHTAR KELİMELER: Primer malign melanom, ince bağırsak.

Year 2014, Volume 36, Issue 2, 03.07.2015

Abstract

Details

Primary Language Turkish
Journal Section OLGU SUNUMU
Authors

Tuncer TEMEL


Pinar YILDIZ This is me


Aysegul OZAKYOL This is me

Publication Date July 3, 2015
Published in Issue Year 2014, Volume 36, Issue 2

Cite

Bibtex @ { otd217974, journal = {Osmangazi Tıp Dergisi}, issn = {1305-4953}, eissn = {2587-1579}, address = {}, publisher = {Eskişehir Osmangazi University}, year = {2015}, volume = {36}, pages = { - }, doi = {10.20515/otd.77789}, title = {Abdominal Pain due to Primary Malignant Melanoma of the Small Intestine}, key = {cite}, author = {Temel, Tuncer and Yıldız, Pinar and Ozakyol, Aysegul} }
APA Temel, T. , Yıldız, P. & Ozakyol, A. (2015). Abdominal Pain due to Primary Malignant Melanoma of the Small Intestine . Osmangazi Tıp Dergisi , 36 (2) , . Retrieved from https://dergipark.org.tr/en/pub/otd/issue/20466/217974
MLA Temel, T. , Yıldız, P. , Ozakyol, A. "Abdominal Pain due to Primary Malignant Melanoma of the Small Intestine" . Osmangazi Tıp Dergisi 36 (2015 ): <https://dergipark.org.tr/en/pub/otd/issue/20466/217974>
Chicago Temel, T. , Yıldız, P. , Ozakyol, A. "Abdominal Pain due to Primary Malignant Melanoma of the Small Intestine". Osmangazi Tıp Dergisi 36 (2015 ):
RIS TY - JOUR T1 - Abdominal Pain due to Primary Malignant Melanoma of the Small Intestine AU - Tuncer Temel , Pinar Yıldız , Aysegul Ozakyol Y1 - 2015 PY - 2015 N1 - DO - T2 - Osmangazi Tıp Dergisi JF - Journal JO - JOR SP - EP - VL - 36 IS - 2 SN - 1305-4953-2587-1579 M3 - UR - Y2 - 2022 ER -
EndNote %0 Osmangazi Journal of Medicine Abdominal Pain due to Primary Malignant Melanoma of the Small Intestine %A Tuncer Temel , Pinar Yıldız , Aysegul Ozakyol %T Abdominal Pain due to Primary Malignant Melanoma of the Small Intestine %D 2015 %J Osmangazi Tıp Dergisi %P 1305-4953-2587-1579 %V 36 %N 2 %R %U
ISNAD Temel, Tuncer , Yıldız, Pinar , Ozakyol, Aysegul . "Abdominal Pain due to Primary Malignant Melanoma of the Small Intestine". Osmangazi Tıp Dergisi 36 / 2 (July 2015): - .
AMA Temel T. , Yıldız P. , Ozakyol A. Abdominal Pain due to Primary Malignant Melanoma of the Small Intestine. Osmangazi Tıp Dergisi. 2015; 36(2): -.
Vancouver Temel T. , Yıldız P. , Ozakyol A. Abdominal Pain due to Primary Malignant Melanoma of the Small Intestine. Osmangazi Tıp Dergisi. 2015; 36(2): -.
IEEE T. Temel , P. Yıldız and A. Ozakyol , "Abdominal Pain due to Primary Malignant Melanoma of the Small Intestine", Osmangazi Tıp Dergisi, vol. 36, no. 2, Jul. 2015, doi:10.20515/otd.77789

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