Retrograde Balloon-Assisted Deep Enteroscopy in the Diagnosis of Metastatic Melanoma

A 74-year-old male with a history of metastatic melanoma presents with persistently abnormal small bowel findings on PET-CT scan. The patient had persistent FDG uptake near the ileocolic junction on imaging, concerning for metastatic melanoma. Capsule endoscopy demonstrated ulcerated mucosa in the d...

Full description

Saved in:
Bibliographic Details
Main Authors: William Barge, Mark R. Albertini, Christopher Cold, Daniel Abbott, Deepak Gopal
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2021/5572230
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832565222104104960
author William Barge
Mark R. Albertini
Christopher Cold
Daniel Abbott
Deepak Gopal
author_facet William Barge
Mark R. Albertini
Christopher Cold
Daniel Abbott
Deepak Gopal
author_sort William Barge
collection DOAJ
description A 74-year-old male with a history of metastatic melanoma presents with persistently abnormal small bowel findings on PET-CT scan. The patient had persistent FDG uptake near the ileocolic junction on imaging, concerning for metastatic melanoma. Capsule endoscopy demonstrated ulcerated mucosa in the distal ileum. This area was biopsied and tattooed via retrograde double-balloon enteroscopy to confirm the diagnosis of metastatic melanoma and facilitate subsequent small bowel resection. The case illustrates a unique case of metastatic melanoma to the small bowel and the utility of capsule endoscopy and balloon-assisted enteroscopy to assist in diagnosis and management of metastatic disease.
format Article
id doaj-art-3703e418ef4e4503b1a7a2a0b49b83f0
institution Kabale University
issn 2090-6528
2090-6536
language English
publishDate 2021-01-01
publisher Wiley
record_format Article
series Case Reports in Gastrointestinal Medicine
spelling doaj-art-3703e418ef4e4503b1a7a2a0b49b83f02025-02-03T01:08:51ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362021-01-01202110.1155/2021/55722305572230Retrograde Balloon-Assisted Deep Enteroscopy in the Diagnosis of Metastatic MelanomaWilliam Barge0Mark R. Albertini1Christopher Cold2Daniel Abbott3Deepak Gopal4University of Wisconsin School of Medicine and Public Health (UWSMPH), Madison, Wisconsin, USADivision of Hematology, Medical Oncology & Palliative Care, UW Carbone Cancer Center Comprehensive Melanoma Clinic, UWSMPH, Madison, Wisconsin, USADepartment of Pathology and Laboratory Medicine, UWSMPH, Madison, Wisconsin, USADivision of Surgical Oncology, Department of Surgery, UWSMPH, Madison, Wisconsin, USAUniversity of Wisconsin School of Medicine and Public Health (UWSMPH), Madison, Wisconsin, USAA 74-year-old male with a history of metastatic melanoma presents with persistently abnormal small bowel findings on PET-CT scan. The patient had persistent FDG uptake near the ileocolic junction on imaging, concerning for metastatic melanoma. Capsule endoscopy demonstrated ulcerated mucosa in the distal ileum. This area was biopsied and tattooed via retrograde double-balloon enteroscopy to confirm the diagnosis of metastatic melanoma and facilitate subsequent small bowel resection. The case illustrates a unique case of metastatic melanoma to the small bowel and the utility of capsule endoscopy and balloon-assisted enteroscopy to assist in diagnosis and management of metastatic disease.http://dx.doi.org/10.1155/2021/5572230
spellingShingle William Barge
Mark R. Albertini
Christopher Cold
Daniel Abbott
Deepak Gopal
Retrograde Balloon-Assisted Deep Enteroscopy in the Diagnosis of Metastatic Melanoma
Case Reports in Gastrointestinal Medicine
title Retrograde Balloon-Assisted Deep Enteroscopy in the Diagnosis of Metastatic Melanoma
title_full Retrograde Balloon-Assisted Deep Enteroscopy in the Diagnosis of Metastatic Melanoma
title_fullStr Retrograde Balloon-Assisted Deep Enteroscopy in the Diagnosis of Metastatic Melanoma
title_full_unstemmed Retrograde Balloon-Assisted Deep Enteroscopy in the Diagnosis of Metastatic Melanoma
title_short Retrograde Balloon-Assisted Deep Enteroscopy in the Diagnosis of Metastatic Melanoma
title_sort retrograde balloon assisted deep enteroscopy in the diagnosis of metastatic melanoma
url http://dx.doi.org/10.1155/2021/5572230
work_keys_str_mv AT williambarge retrogradeballoonassisteddeepenteroscopyinthediagnosisofmetastaticmelanoma
AT markralbertini retrogradeballoonassisteddeepenteroscopyinthediagnosisofmetastaticmelanoma
AT christophercold retrogradeballoonassisteddeepenteroscopyinthediagnosisofmetastaticmelanoma
AT danielabbott retrogradeballoonassisteddeepenteroscopyinthediagnosisofmetastaticmelanoma
AT deepakgopal retrogradeballoonassisteddeepenteroscopyinthediagnosisofmetastaticmelanoma