ILEOCOLIC INTUSSUSCEPTION CAUSED BY A LIPOMA IN AN ADULT

Intussusception rarely observed in adults accounts for only 5% of all the cases and almost 1%-5% of bowel obstruction cases. The aetiology, presentation and management in adults are different from those in children. The clinical presentation in adults often includes nonspecific signs and symptoms, thereby complicating differential diagnosis from other causes of abdominal pain. We report a case of 47year-old Asian man who presented to the OPD with complaints of recurrent crampy type of lower abdominal pain for the past 4 years. Colonoscopy showed ileocolonic intussusception with overlying mass extending up to splenic flexure with spontaneous regression. Abdominal CT demonstrated ileocolic intussusception, and hence segmental ileo-colonic resection was done and ileo-ascending colon was anastomosed. Histopathology report of the resected specimen confirmed asub mucosal lipoma measuring 4.5 cm with extensive fat necrosis. Proper vigilance and appropriate investigations help in prompt diagnosis and surgical referral help enable favourable outcomes.