Primary Malignant Melanoma of The Small Intestine

Primary small intestinal melanoma is a rare malignant neoplasm, for which scarce literature offers limited evidence optimal management. We present case of 60-year-old female with primary ileum. She presented left sided abdominal pain, decreased appetite, and history diarrhoea 15 days. developed absolute constipation during her preoperative investigations, in CT scan revealed ileoileal intussusception. underwent laparotomy the resection intussuscepted bowel segment, greyish brown mass attached to bowel, later confirmed by histopathology as melanoma. Postoperative detailed clinical investigation no cutaneous, hepatic, pulmonary, ocular, or cranial melanotic lesion. Hence, lesion was classified referred oncologist who started on adjuvant chemotherapy. The patient expired cardiopulmonary arrest three months after diagnosis due post Chemotherapy side effects.