Snapshot quiz 13/27

Published: 03/21/2013

Authors: Mlotshwa M and Harris G

This patient required a laparotomy for symptoms of small bowel obstruction. The patient presented with colicky abdominal pain, and was found to have an iron deficiency anaemia. He had a history of previous cutaneous melanoma excision. The diagnosis is metastatic small bowel melanoma, with pigmented lesions in the small bowel, and melanin deposits in the mesentery.