Short segment small bowel intussusception often has no pathological lead point, however long segment intussusception should prompt a careful look for a mucosal lesion or other abnormality. Melanoma is known to metastasize to intestinal mucosa.

Benign adrenal lesions are much more common than malignant, in particular adenomas, even in a patient with a known primary. However, given the large size and heterogeneity of the adrenal masses in this case, metastasis has to be favored over benign lesions.