Melanoma metastasis in the papilla of vater mimicing pancreatic cancer

Malignant melanoma is a highly unpredictable tumor that can metastasize to any organ. The following is a case report of known malignant melanoma presenting as new onset obstructive jaundice as a result of an uncommon metastasis to the Ampulla of Vater. According to the litterature data, melanoma metastasis in the papilla is very rare. A thorough review of the literature reveals only five such prior reported cases. A 44 year old male presented with 1 week of jaundice, right upper abdominal pain, and general weakness. He had history of melanoma malignum, diagnosed by excision from the left side of the back in 1995…