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conferenceseries
.com
Volume 8
Journal of Gastrointestinal & Digestive System
ISSN: 2161-069X
Bariatric Surgery 2018 & Gastro 2018
March 15-16, 2018
JOINT EVENT
12
th
Global Gastroenterologists Meeting
3
rd
International Conference on Metabolic and Bariatric Surgery
&
March 15-16, 2018 Barcelona, Spain
Ileo-cecal intussusception against metastasis of melanoma in the ileum: clinical case and literature
review
Danilov Mikhail
A S Loginov Moscow Clinical Scientific Center, Russia
I
ntestinal intussusception is a very rare pathology, especially in adults. The causes of intestinal intussusception can be both
benign and malignant neoplasms. Often, intestinal intussusception is an occasional diagnostic finding, but cases of clinically
significant invaginations that lead to disruption of the intestinal passage are described. Significant diagnostic contribution
is made by ultrasound and endoscopy, but sometimes one has to resort to such diagnostic methods such as CT (Computed
Tomography) and MRI (Magnetic Resonance Imaging). The tactics of surgical treatment of intestinal intussusception are
different and can vary from conservative intussusception to an expanded resection of the intestine site. In this clinical example,
the case of ileo-cecal intussusception is described in the background of metastasis of melanoma in the ileum. 1. Сolonoscopy
- in the ascending colon, the invaginated small intestine, occupying 2/3 of the lumen (15 cm in length), is defined in the
terminal part of the small intestine with a diameter of about 4 cm. CT of abdomen - intussusception of the terminal part of
the ileum into the cecum and ascending colon, the blood flow at the level of the invaginate is traced. 2. Operation - right-sided
hemicolectomy with D-3 lymphadenectomy (considering the absence of morphological verification of the tumor and the
impossibility of excluding malignant lesions). 3. Histological examination - pigment-free metastasis of melanoma, there are no
metastases in 29 lymph nodes, expression of S100, CD117, HMB45 Melan A is determined in tumor cells.
dma23rus@mail.ruJ Gastrointest Dig Syst 2018, Volume 8
DOI: 10.4172/2161-069X-C1-065