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