eng Science and Education Publishing American Journal of Clinical Medicine Research 2328-403X 2014-08-10 2 4 72 74 10.12691/ajcmr-2-4-2 AJCMR2014242 article Umobong EO 1 Ojo BA babarinde087@gmail.com 2 Aghahowa ME 3 Etim O 3 Ngbea J 3 Ugwu VI 4 Eke BA 5 Nyaga T 6 DUDUYEMI BM 7 Jumbo GTA 8 Consultant Histopathologist, Department of Laboratory Medicine, State House Medical Centre, Abuja, Nigeria Senior Lecturer/Consultant Anatomic Pathologist, Department of Anatomical Pathology, College of Health-Sciences, Benue State University, Makurdi, Nigeria Consultant Surgeon, Department of Surgery, Asokoro District Hospital, Abuja, Nigeria Consultant Histopathologist, Department of Histopathology, National Orthopedic Hospital Enugu, Nigeria Consultant Surgeon/Senior Lecturer, Department of Surgery, College of Health-Sciences, Benue State University, Makurdi, Nigeria Resident, Department of Histopathology, Benue State University Teaching Hospital, Makurdi, Nigeria Lecturer/Consultant Anatomic Pathologist, Department of Pathology, Kwane Nkrumah University of Science and Technology, Kumasi, Ghana Department of Medical Microbiology, College of Health Sciences, Benue State University, Makurdi, Nigeria Small intestinal metastasis of any malignancy is rare. Cutaneous or ocular malignant melanomas are the most common tumors that metastasize to gastrointestinal tract. Patient often present several years after the initial evaluation and treatment for a previous cutaneous malignant melanoma with intestinal obstruction symptoms. Rarely, small bowel melanomas occur with clinical picture of acute abdomen due to perforation. We present a 68 year old female patient with a 4 month history of recurrent colicky abdominal pain, distention, vomiting associated with weight loss and passage of small pellet stool. Imaging studies using abdominal ultrasound and CT scan revealed a large lobulated hypo echoic mass between the gastric antrum and pancreas. She had an exploratory laparatomy for bowel obstruction. Surgical pathology of the excised mass with resected obstructed jejunum revealed a metastatic malignant melanoma. Reported cases of metastatic small bowel melanoma are becoming increasingly common and should be considered in patients with a previous history of primary cutaneous malignant melanoma. http://pubs.sciepub.com/ajcmr/2/4/2/ajcmr-2-4-2.pdf malignant melanoma metastasis obstruction