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Case Report
Ileal–ileal intussusception secondary to multiple small bowel recurrent metastatic melanoma: A case study
1 Registrar in the Department of General Surgery, Latrobe Regional Health, Traralgon, Victoria, Australia
2 Consultant surgeon in the Department of General Surgery, Latrobe Regional Health, Traralgon, Victoria, Australia
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Adrian Jik Yan Tam
18 Britton Drive, Pakenham, Victoria,
Australia
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Article ID: 100164Z12AT2025
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Tam AJY, Zula D, Tan KJ. Ileal–ileal intussusception secondary to multiple small bowel recurrent metastatic melanoma: A case study. J Case Rep Images Surg 2025;11(2):29–33.ABSTRACT
Introduction: Intussusception in adults is a rare pathology. Recurrent metastatic melanoma must be considered in patients with a history of cutaneous melanoma. However, cases where there are multiple deposits can present a surgical dilemma for clinicians.
Case Report: We present a case of a 52-year-old male with intussusception on a background of cutaneous melanoma in remission over 20 years ago. He received an emergency laparotomy and resection of the pathological lead point and intussuscepted bowel. Two other 5 mm small bowel deposits were left in situ due to distance apart from one another and were undetectable one month later on positron emission tomography (PET) after targeted immunotherapy.
Conclusion: This case underscores the importance of prompt surgical exploration in symptomatic adult intussusception, especially in patients with prior melanoma history regardless of length of time of remission. In such patients, pain alone without bowel obstruction may be enough to prompt exploration. Complete oncological resection offers potential survival benefits, although the management of multiple bowel metastases remains challenging. It may be reasonable to leave concurrent small bowel metastases in situ in order to avoid multiple or extensive small bowel resections in specific cases where deposits are miniscule.
Keywords: Intestinal metastases, Intussusception, Metastatic melanoma
SUPPORTING INFORMATION
Author Contributions
Adrian Jik Yan Tam - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published
David Zula - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Kian Jin Tan - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2025 Adrian Jik Yan Tam et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
