Ileo Ileal Intussusception: A Rare Presentation with Multiple Intraluminal Lipoma at Distal Ileum

Introduction: Intestinal Intussusception is a relatively common cause of bowel obstruction in children, however, it is a rare clinical entity in adults. When seen in adults it is often caused by some underlying lead point. Case Report: We present a case report of 28 year old male with complain of diffuse abdominal pain and vomiting. CECT Abdomen and Pelvis was suggestive of ileoileal Intussusception with subacute Intestinal Obstruction likely due to multiple intraluminal lipomas. . Patient underwent laparotomy Ileo Ileal Intussusception with multiple intraluminal lipoma for which ileoileal resection and anastomosis done. Discussion: Intestinal Intussusception is relatively frequent in children and is a rare clinical condition in adults at a ration of 20: 1.4 Sixty to sixty - five percent of the cases of intussusception in the large intestine have malignant etiology. Thus, lipoma as the main cause of ileo - ileal intussusception in adults is an uncommon cause. Conclusion: Patients with chronic abdominal symptoms and semi - obstruction caused by intussusception are rarely diagnosed before surgery unless there is a high index of suspicion. Colonoscopy contributes to diagnosis given that it provides direct visualization and biopsy.