A Rare Case of Multiple Ileal Lipoma in A Young Male

Abstract

Background: Non-obstructive intussusception in adults is rare and is seen in less than 1 per 1300 abdominal surgeries. 95% of intussusception in adults usually presents as obstruction, commonly due to a pathological cause for the lead point. Clinical Description: A 45-year-old young gentleman with non-radiating chronic intermittent abdominal pain for four to five years of duration without any significant weight loss. Clinical examination was non-specific with stable vitals. Management: Ultrasonography of the abdomen and pelvis was done and it was reported to have ileocecal intussusception of approximately 10 cm. Contrast-enhanced computed tomography revealed an ileal lipoma as a lead point for ileocecal intussusception. The laparoscopic reduction was attempted and was ultimately manually reduced with resection of the lipoma and the bowel as resected and anastomosed. Conclusion: Though the diagnosis of adult intussusception is challenging at times, a surgeon should anticipate the diagnosis in bizarre surgical circumstances and manage patients with rare complications swiftly and precisely to prevent permanent future disabilities.