Metastatic melanoma metastases to small bowel

Discussion:

Metastasis to the gastrointestinal tract is a rare phenomenon but melanoma is the most common primary and the small bowel the commonest location.  Patterns include mural nodules causing intussusception, ulcerating mural nodules, serosal deposits and larger infiltrating masses as in this case that may cause bowel obstruction and dilated luminal segments.

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