Primary Malignant Melanoma of Jejunum with Perforation Peritonitis: A Case Report
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 1
Abstract
Neuroendocrine tumours (NETs also known as carcinoid tumours), adenocarcinoma, GIST, lymphoma are the common malignant neoplasms of small bowel in that order. Malignant melanomas are the rare entities. They are found mostly as metastasis to small bowel. Primary malignant melanoma of small bowel is very rare with paucity of published reports. It can remain asymptomatic for long duration and is often diagnosed at an advanced stage or as in this case with perforation where no standardised management protocol is developed. The pathophysiology is debatable. It is currently challenging to differentiate primary and secondary gastrointestinal melanomas. In this case report, we have reported a case of primary malignant melanoma of jejunum presenting with perforation peritonitis. Laparotomyrevealed ablack, pigmented, ulceroproliferative jejunal massperoperatively. It was further confirmed on histopathology and immunohistochemistry as Malignant Melanoma. After ruling out the differentials and on retrograde specific clinical history and examination, the diagnosis of primary malignant melanoma of jejunum was made.
Authors and Affiliations
Vivek Vasudeo
Keywords
Related Articles
- EP ID EP273223
- DOI -
- Views 70
- Downloads 0
Seroprevalence of Hepatitis B Surface Antigen and Hepatitis C in Blood Bank from Gujarat- A Seven Year Study
Background: Hepatitis B virus is the most important causative agent of transfusion associated hepatitis. The virus is highly infectious and minute amounts as little as 0.00001ml can transmit the infection. Hepatitis C vi...
A Retrospective Study of Intussusception in Children
Background: Intussusception is invagination of one segment of intestine into other one. The proximal part known as Intussusceptum and distal part is called as Intussuscepiens. It is one of the common cause of paediatric...
Treatment for Graves’ Disease and its Recurrence
The most common cause of hyperthyroidism worldwide is Graves’ disease (GD). Therapeutic options for GD include anti thyroid drugs (ATD), radioactive iodine, and thyroidectomy. ATD treatment is generally well accepted by...
Clinical Profile of Anemia in Elderly population
Background:-Anemia is a common concern in older people and can have significant morbidity and mortality. Because anemia is a sign, not a diagnosis, an evaluation is almost always warranted to identify the underlying caus...
Aluminium Phophide Poisonoing: Can Mode of Ingestion Predict Mortality? A Study in North Bihar
Aluminium phosphide poisoning has emerged as a major problem in rural India. No specific antidote is available. This study was conducted to evaluate relation between mode of ingestion and outcome in terms of mortality. M...