{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T22:21:20Z","timestamp":1783722080432,"version":"3.55.0"},"reference-count":10,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,8,17]]},"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:p>We report on a clinical case with haemorrhagic small bowel metastases in a malignant melanoma patient with anaemia, diagnosed using small bowel video capsule endoscopy (VCE). A 67-year-old male patient with a previous diagnosis of malignant melanoma presented with anaemia and vertigo on admission. The standard diagnostic protocol for gastrointestinal (GI) bleeding investigation including a gastroscopy, colonoscopy and small bowel capsule endoscopy, as well as abdominal sonography and a restaging protocol including chest\u2013abdomen\u2013pelvis CT (CAP-CT), echocardiography and ECG was applied. Gastroscopy and colonoscopy were not conclusive in determining the bleeding source. VCE provided evidence for numerous haemorrhagic small bowel metastases. The CAP-CT was unremarkable for small bowel findings. Due to a diffuse metastatic disease diagnosed in heart, brain, liver, spleen and bone metastasis, the patient was treated in a conservative\/palliative manner. VCE can provide precious information about GI bleeding of unknown origin when classical diagnostic methods are non-conclusive.<\/jats:p>","DOI":"10.1136\/bcr-2019-230454","type":"journal-article","created":{"date-parts":[[2019,9,11]],"date-time":"2019-09-11T08:45:14Z","timestamp":1568191514000},"page":"e230454","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Haemorrhagic small bowel melanoma metastasis: a clinical rarity"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2506-2377","authenticated-orcid":false,"given":"Alexandros","family":"Zoumpos","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Endocrinology, Diabetology and General Medicine, Klinikum Kassel GmbH, Kassel, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ngoc Anh Huy","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Endocrinology, Diabetology and General Medicine, Klinikum Kassel GmbH, Kassel, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralf","family":"Loeschhorn-Becker","sequence":"additional","affiliation":[{"name":"Department of Radiology, Klinikum Kassel GmbH, Kassel, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Schuppert","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Endocrinology, Diabetology and General Medicine, Klinikum Kassel GmbH, Kassel, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,9,11]]},"reference":[{"key":"2025082712193456000_12.9.e230454.1","unstructured":"WHO. \u00a0Skin cancers. 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