Early solitary small bowel metastasis from stage I cutaneous melanoma.

Male, 63 FINAL DIAGNOSIS: Melanoma Symptoms: Gastrointesinal haemorrhage Medication: - Clinical Procedure: Enterectomy Specialty: Oncology. Objective: Unusual clinical course.

Background: It is reported that the time interval between the initial diagnosis of malignant melanoma and the diagnosis of the gastrointestinal metastases is 43.8±11.3 months.

Methods: We present the case of a 63-year-old Caucasian man who was operated on for superficial spreading Stage IB melanoma and 8 months later was diagnosed with solitary small bowel metastasis without other systemic metastases.

Conclusions: Small bowel melanoma metastasis should be suspected in any patient with previous history of malignant melanoma who develops symptoms of anemia, gastrointestinal hemorrhage, and non-specific abdominal pain.