case_images: PMC2829594_01
case_images: Upper gastrointestinal endoscopy showing multiple dark duodenal lesions measuring 5 mm to 10 mm.
case_images: 1752-1947-4-10-1.jpg
case_images: PMC2829594_01_1752-1947-4-10-1.jpg
case_images: F1
case_images: Multiple dark gastric and duodenal lesions were found, which were suspect for metastatic melanoma or Kaposi's sarcoma (Figure 1).
case_images: Histological examination of a duodenal lesion, Melan A staining.
case_images: 1752-1947-4-10-2.jpg
case_images: PMC2829594_01_1752-1947-4-10-2.jpg
case_images: F2
case_images: A biopsy of one of these lesions was consistent with melanoma (Figure 2), as was the cytological analysis of the ascitic fluid.
case_images: Pigmented skin lesion over the left clavicle measuring 15 mm x 8 mm with partial depigmentation consistent with a melanoma in regression.
case_images: 1752-1947-4-10-3.jpg
case_images: PMC2829594_01_1752-1947-4-10-3.jpg
case_images: F3
case_images: The lesion was partially pigmented and partially depigmented, which was consistent with a melanoma in regression (Figure 3).
case_images: Chest X-ray showing free intraperitoneal air.
case_images: 1752-1947-4-10-4.jpg
case_images: PMC2829594_01_1752-1947-4-10-4.jpg
case_images: F4
case_images: A chest X-ray showed the presence of free intraperitoneal air (Figure 4) and a clinical diagnosis of gastrointestinal perforation was made.