ENTERIC INTUSSUSCEPTION DUE TO METASTATIC INTESTINAL TUMORS

Enteroenteric intussusception caused by metastatic tumors is a very ra re condition. Because of its rarity and rather mild abdominal physical presentation, preoperative diagnosis is not easily made. Two cases of enteric intussusception due to metastatic intestinal turners, with th e main symptom of melena, are reported. Intussusception was caused by metastatic liposarcoma in one patient and metastatic melanoma in the o ther. Both patients had long histories of malignant disease, for 15 an d 8 years, respectively. They had undergone repeated surgical treatmen t for metastatic lesions. The diagnosis of enteric intussusception was initially made by computed tomographic scans and small bowel series a nd was confirmed by laparotomy and pathologic findings. We suggest tha t tumor metastasis to the small intestine with intussusception should be considered in patients with recurrent tumors and tarry stools.