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Year : 2022  |  Volume : 28  |  Issue : 1  |  Page : 98-100

Primary jejunal melanoma presenting as gastrointestinal bleeding

Department of General Surgery, Government Medical College, Thrissur, Kerala, India

Correspondence Address:
Dr. Bevin Roys Daniel
Department of General Surgery, Government Medical College, Thrissur - 680 596, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ksj.ksj_53_21

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Intestinal melanomas are very rare causes of upper gastrointestinal bleeding and abdominal lump. The occurrence of both primary and secondary in the intestine is an uncommon presentation. Jejunal melanoma is extremely rare, and only <20 cases have been reported in the literature so far. We are presenting a 52-year-old male patient who presented with fatigue, melaena and an abdominal lump of 1-month duration. He was operated on for biopsy as none of the investigations helped in reaching a definitive diagnosis. Peroperative findings were indicative of jejunal melanoma with infiltration to the right colon. Right hemicolectomy with jejunal resection was done. Histopathological examination revealed malignant melanoma with primary from jejunum. This case is discussed because of the rarity of the disease, and better management can be planned if preoperatively diagnosed.

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