Duodenal Metastases of Malignant Melanoma: One Case Report

Soro Dramane^1*, Ouattara Amadou¹, Okon Anassi Jean Baptiste², Koné Siaka¹, Assi Constant¹, Allah-Kouadio Emile¹, N’dah K. Justin³, Ndjitoyap Ndam Antonin Wilson¹, Diallo Djeinabou¹, Lohoues-Kouacou Marie Jeanne d’Arc¹, Camara Benoît Mathieu¹

¹Service d’Hépato-Gastroentérologie, CHU Cocody, Abidjan, Cote d’Ivoire.
²Service d’Hépato-Gastroentérologie, CHU Bouaké, Bouaké, Cote d’Ivoire.
³Service d’Anatomie Pathologique, CHU Cocody, Abidjan, Cote d’Ivoire.

DOI: 10.4236/ojgas.2015.58018                

Abstract

The duodenal metastases of a malignant melanoma are rare. We report a case at a 86-year-old, hypertense patient, without tumoral history, who was hospitalized in our department for a change of the general state and an anaemia ferriprive without found home (foyer) of display. In the clinical examination, we had found anemia syndrome, nodules under cutaneous about 2 cm in diameter at the level of the thorax, of the belly, the members and of the lower lip partners in a painless left adenopathy axillary about 3 cm in diameter and an absence of méléna in the rectal touch. The gastroscopy had highlighted polypoides ulcéro-bourgeonnantes hurts with a blackish pigmentation by places at the level of the bulb and of the second duodenum. In the histology of biopsie fragments, we noted a fuso-cellular proliferation and epithelioid with deposits of melanin. The positivity of antibodies anti-protein S100 and anti HMB45 in the immunohistochemical study allowed confirming the diagnosis. The gastroduodenal hurts, persons suffering from a liver complaint and lungworts in the scanner testify of a terminal metastatic scattering. The death arose two months later, in a picture of circulatory collapse further to a high digestive bleeding of big abundance.

Keywords

Duodenal Metastases, Malignant Melanoma

Conflicts of Interest

The authors declare no conflicts of interest.

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