Malignant Melanoma Presenting as Obstructive Jaundice Secondary to Metastasis to the Ampulla of Vater

  • Joshua A Marks Departments of Surgery, Pathology, and Medical Oncology; Thomas Jefferson University Hospital. Philadelphia, PA, USA
  • Atul S Rao Departments of Surgery, Pathology, and Medical Oncology; Thomas Jefferson University Hospital. Philadelphia, PA, USA
  • David Loren Departments of Surgery, Pathology, and Medical Oncology; Thomas Jefferson University Hospital. Philadelphia, PA, USA
  • Agnes Witkiewicz Departments of Surgery, Pathology, and Medical Oncology; Thomas Jefferson University Hospital. Philadelphia, PA, USA
  • Michael J Mastrangelo Departments of Surgery, Pathology, and Medical Oncology; Thomas Jefferson University Hospital. Philadelphia, PA, USA
  • Adam C Berger Departments of Surgery, Pathology, and Medical Oncology; Thomas Jefferson University Hospital. Philadelphia, PA, USA
Keywords: Ampulla of Vater, Melanoma

Abstract

Context Malignant melanoma commonly metastasizes to the small intestine where it can cause pain, bleeding, and obstruction. However, jaundice from metastatic melanoma is relatively uncommon. Case report A case of known malignant melanoma presenting as new onset obstructive jaundice as a result of a rarely reported metastasis to the ampulla of Vater. Conclusion Multidisciplinary management of patients with metastatic melanoma is essential.

Image: Images from the ERCP demonstrate a large, irregular, friable, soft mass at the ampulla.

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References

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Images from the ERCP demonstrate a large, irregular, friable, soft mass at the ampulla
Published
2010-03-05
How to Cite
MarksJ., RaoA., LorenD., WitkiewiczA., MastrangeloM., & BergerA. (2010). Malignant Melanoma Presenting as Obstructive Jaundice Secondary to Metastasis to the Ampulla of Vater. JOP. Journal of the Pancreas, 11(2), 173-175. https://doi.org/10.6092/1590-8577/3855
Section
CASE REPORTS