case_images: PMC11671065_01
case_images: Endoscopic image depicting a dark pigmented submucosal mass in proximal jejunum with surface ulcer.
case_images: ac9-12-e01577-g001.jpg
case_images: PMC11671065_01_ac9-12-e01577-g001.jpg
case_images: F1
case_images: Treitz (Figure 1). This lesion was biopsied and tattooed at that time.
case_images: Endoscopic image depicting a brown-colored melanoma tumor from metastatic melanoma in the proximal jejunum.
case_images: ac9-12-e01577-g002.jpg
case_images: PMC11671065_01_ac9-12-e01577-g002.jpg
case_images: F2
case_images: Upper DBE identified 4 submucosal lesions in the proximal jejunum consistent with metastatic disease, the largest measuring 3 cm in diameter with ulceration and signs of bleeding (Figures 2-6).
case_images: Endoscopic image showing a tumor in the proximal jejunum with a visible tattoo marking. The tumor occupies approximately one-third of the lumen.
case_images: ac9-12-e01577-g003.jpg
case_images: PMC11671065_01_ac9-12-e01577-g003.jpg
case_images: F3
case_images: Upper DBE identified 4 submucosal lesions in the proximal jejunum consistent with metastatic disease, the largest measuring 3 cm in diameter with ulceration and signs of bleeding (Figures 2-6).
case_images: Melanoma tumor in the jejunum, seen with double balloon enteroscopy.
case_images: ac9-12-e01577-g004.jpg
case_images: PMC11671065_01_ac9-12-e01577-g004.jpg
case_images: F4
case_images: Upper DBE identified 4 submucosal lesions in the proximal jejunum consistent with metastatic disease, the largest measuring 3 cm in diameter with ulceration and signs of bleeding (Figures 2-6).
case_images: Tumor in the jejunum, approximately 3 cm in size, with ulceration and active blood oozing.
case_images: ac9-12-e01577-g005.jpg
case_images: PMC11671065_01_ac9-12-e01577-g005.jpg
case_images: F5
case_images: Upper DBE identified 4 submucosal lesions in the proximal jejunum consistent with metastatic disease, the largest measuring 3 cm in diameter with ulceration and signs of bleeding (Figures 2-6).
case_images: Tattoo injection of the small-bowel proximal and distal-to-metastatic mucosal melanoma tumors.
case_images: ac9-12-e01577-g006.jpg
case_images: PMC11671065_01_ac9-12-e01577-g006.jpg
case_images: F6
case_images: Upper DBE identified 4 submucosal lesions in the proximal jejunum consistent with metastatic disease, the largest measuring 3 cm in diameter with ulceration and signs of bleeding (Figures 2-6).
case_images: Pathology of the largest mass (right) to include adjacent mesenteric fat (B). A smaller mass is also shown on the left (A).
case_images: ac9-12-e01577-g007.jpg
case_images: PMC11671065_01_ac9-12-e01577-g007.jpg
case_images: F7
case_images: Surgical pathology showed metastatic melanoma (predominantly epithelioid morphology), forming 4 masses in the proximal jejunum and 2 polypoidal masses in the distal jejunum (involving the mucosa and submucosa and focally extending through muscularis propria), ranging in size from 0.8 cm to 3.3 cm (Figure 7).