Kewen Zheng, Department of Urology, the First Affiliated Hospital of Wenzhou Medical University, the First Clinical College of Wenzhou Medical University, Wenzhou City, Zhejiang Province, 325000, P.R. China

Xiao Wu, Department of General Surgery, the Traditional Chinese Medicine Hospital of Yongjia Country, Wenzhou City, Zhejiang Province, 325000, P.R. China

Wei Chen, Department of Urology, the First Affiliated Hospital of Wenzhou Medical University, the First Clinical College of Wenzhou Medical University, Wenzhou City, Zhejiang Province, 325000, P.R. China

Kesi Zheng, Department of Oncology, Wenzhou People's Hospital, the Third Clinical College of Wenzhou Medical University, Wenzhou City, Zhejiang Province, 325000, P.R. China

Abstract
Melanoma diagnosed by small bowel obstructions (SBOs) as the initial clinical symptom is a relatively rare condition. We present a rare case of SBO that occurred in an adult woman with unsuspected small bowel melanoma, diagnosed by imaging, laparotomy and pathological examination. A 49-year-old female was sent to the emergency department complaining about abdominal pain and total constipation. CT scan showed small bowel obstruction and an enhanced mass located in the proximal jejunum segment. Exploratory laparotomy was performed, and a mass protruding to the jejunum which caused stenosis of intestine was revealed. Intestinal resection and anastomosis was performed. Pathological examination demonstrated melanoma diagnosis.

Keywords
melanoma, small bowel, small bowel obstruction, diagnosis, metastasis

Cite this paper
Kewen Zheng, Xiao Wu, Wei Chen, Kesi Zheng, Advanced malignant melanoma of small bowel with lung metastases revealed by small bowel obstruction: A case report and literatures reviewed , SCIREA Journal of Biology. Volume 4, Issue 1, February 2019 | PP. 16-23.

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