DOI: https://doi.org/10.36347/sjmcr.2025.v13i10.109

Pages: 2641-2643

Adult intestinal intussusception is an uncommon clinical entity, accounting for less than 5% of all cases of bowel obstruction. We report the case of a 29-year-old man admitted with a 24-hour history of diffuse abdominal pain, cessation of bowel movements, and bilious vomiting. Physical examination and radiological investigations revealed that the patient was suffering from acute mechanical bowel obstruction due to ileo-ileal intussusception secondary to a lipoma. The patient underwent an initial laparoscopic exploration, followed by conversion to laparotomy. An ileal resection of 25 cm with side-to-side ileo-ileal anastomosis was performed. A systematic review of the literature (2012–2024) identified 155 reported cases of acute intestinal obstruction due to lipoma, 139 of which involved intussusception. Intestinal obstruction secondary to lipoma is rare and often presents as intussusception. Advances in imaging and endoscopy have improved preoperative diagnosis, but surgical resection remains the treatment of choice when bowel compromise or diagnostic uncertainty exists.