Díaz Alcázar, María Del MarRuiz-Rodríguez, Antonio JoséCasado Caballero, Francisco JavierMartín-Lagos Maldonado, Alicia2023-02-082023-02-0820201130-0108http://hdl.handle.net/10668/15102We present abdominal computed tomography and enteroscopy images of a 48-year-old male patient with a previous melanoma who presented with epigastric pain. The pain was not controlled with medical management. Abdominal computed tomography and a histological study of biopsies form enteroscopy confirmed the diagnosis of metastatic melanoma. The gastrointestinal involvement of melanoma is usually metastatic. Symptomatic gastrointestinal involvement occurs in less than 5% of melanomas, although postmortem analyses have reported up to 70%. The clinical presentation is variable and usually presents as abdominal pain. The diagnosis of small intestinal involvement of melanoma is a challenge due to its poor accessibility. The enteroscopy has a fundamental role as it allows a direct visualization and biopsies to be taken for histological study.enAbdominal PainEndoscopy, GastrointestinalHumansLaparoscopyMaleMelanomaMiddle AgedTomography, X-Ray Computedresearch article32054280open access10.17235/reed.2020.6820/2019https://doi.org/10.17235/reed.2020.6820/2019