Metastatic malignant melanoma of the small intestine: capsule endoscopic appearance.

primary [1] and metastatic intestinal melanoma, as previously described [2] and illustrated with surgical and histolo− gical verification [3]. However, capsule enteroscopic identification of the charac− teristic coal−black appearance of malig− nant melanoma has not been described previously in intestinal tumors. A 56−year−old man receiving dendritic cell−based therapy for metastatic malig− nant melanoma presented with anemia and black stools. Abdominal computer to− mography suggested peritoneal carcino− matosis. There were no clinical or radio− logical signs of intestinal obstruction. Gastroscopy and colonoscopy were nor− mal. CE revealed a localized area with whitish tissue and characteristic coal− black, sharply demarcated circular areas, consistent with metastatic melanoma. This area was located in the ileum, cen− trally in the abdomen, after 6 hours 19 minutes (l" Figure 1, Video 1). Because of the disseminated disease and the absence of obstructive symptoms, the dendritic cell−based therapy was continued with− out surgical intervention. The patient passed away 2 months later.