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June 1964

Massive Gastrointestinal HemorrhageDue to Metastatic Malignant Melanoma of Small Intestine

Arch Surg. 1964;88(6):1049-1051. doi:10.1001/archsurg.1964.01310240145024

Massive gastrointestinal hemorrhage from metastatic malignant melanoma to the small intestine is relatively uncommon. Characteristically the lesion causes abdominal pain with or without intestinal obstruction rather than massive hemorrhage.1 We have recently encountered an instance of massive gastrointestinal bleeding secondary to metastatic malignant melanoma which was treated by resective operation.

Report of Case  A 37-year-old white man was first admitted to Bellevue Hospital on May 23, 1960, because of a small lesion of the skin of the right upper quadrant of the abdomen. The patient had noticed this lesion one year prior to admission and told of a sudden increase in size six months prior to admission. Originally described as a raised, flat, pale brown nevus, the lesion had become dark brown-black in color, and it bled on irritation. A biopsy specimen revealed "melanoma." On June 7, 1960, wide excision of the lesion, split-thickness skin graft, and axillary node

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