Case of fake acute abdomen by metastatic melanoma

Abstract

Malignant melanoma is the neoplasm with highest probability of cardiac metastatization.

Cardiac involvement by metastatic melanoma is rarely identified ante-mortem (5-30% of cases) for non-specificity of cardiac symptoms. In fact we show in this case report that abdominal pain can represent the predominant symptom.

Furthermore we show the importance of linkage between clinical & anamnestic data which if underestimated can lead to an improper management and to the patient exitus.