The operative findings were as follows:
1. Dominant ileo-ileal intussusception not reducible at 200 cm from the angle of Treitz, approximately 10.0 cm, secondary to metastatic lesions of at least 5.0 cm.
2. Dilated loops of the small intestine and gastric chamber with evident change in calibre after 1.
3. At least four additional dark metastatic lesions in the ileum distributed between 200 cm to 300 cm from the ligament of Treitz, one of them with reducible intussusception.
The pathology report: resection of the ileum.
1. Multiple metastases due to malignant melanoma, the largest up to 3.6 cm.
2. Negative resection margins
3. Intestinal wall with mild oedema of the mucosa without other notable histological alterations.