SMALL-BOWEL METASTASIS OF MALIGNANT-MELAN OMA - A RARE CAUSE OF INTESTINAL BLEEDING

This is the case report of a 63 year old female patient, who was admit ted to the hospital due to an unexplained anemia. A malignant melanoma of the cheek was excised four years previously (stage II, Clark level V, TNM classification: pT4, pNl, MO), followed by chemotherapy. By x- ray and CT examination an intestinal malignant growth was assumed. Lap arotomy revealed a metastasis of the malignant melanoma, situated in t he middle of the jejunum as cause of the occult bleeding. Complete res ection of the tumor was succesfully carried out. A second look laparot omy one year later revealed no further tumor growth in the abdominal c avity.