Intramucosallipoma Causing Iliocecal Intussusception in a Patient with Cutaneous Lipomas: A Case Report

Introduction: Intussusceptions in adults is rare occurrence and benign lesions such as lipomas are an especially rare cause. Presentation of Case: This is a case of a 32-year-old man with a history of cutaneous lipomas presenting with small bowel obstruction due to intussusception with a lipoma lead point. Discussion: Close to 50% of bowel lesions causing intussusception in adults are due to malignant disease. The standard treatment for intussusception in adults is resection. Attempted reduction prior to resection can limit the amount of bowel needing to be removed; however seeding of malignancy is a feared complication. A family or personal history of cutaneous and systemic conditions causing benign tumors can help determine whether a benign etiology is likely and reduction can be safely performed. Conclusion: Clinical clues from history and physical exam can help determine whether a benign etiology is likely and whether resection prior to reduction should be attempted.