Small bowel submucosal lipoma-induced secondary intussusception: a case report

Siraj O. Alsulimani; Arwa M. Aljuhani; Ibrahim M. Aljuhani; Eman Muhsini Alsufyani; Abdullah Al-Sawat

doi:10.18203/2349-2902.isj20250028

Authors

Siraj O. Alsulimani Department of General Surgery, King Abdulaziz Specialist Hospital, Taif, Saudi Arabia
Arwa M. Aljuhani Department of General Surgery, King Abdulaziz Specialist Hospital, Taif, Saudi Arabia
Ibrahim M. Aljuhani College of Medicine, Taif University, Taif, Saudi Arabia
Eman Muhsini Alsufyani Department of General Surgery, King Abdulaziz Specialist Hospital, Taif, Saudi Arabia
Abdullah Al-Sawat Department of Surgery, College of Medicine, Taif University, Taif, Saudi Arabia

DOI:

https://doi.org/10.18203/2349-2902.isj20250028

Keywords:

Intestinal lipoma, Intussusception, Intestinal obstruction, Lipoma, Intestine, Ileum, Adult

Abstract

Intestinal lipomas are uncommon and benign tumors that rarely can lead to intussusception in adults. We present a rare case of ileo-ileal intussusception caused by a small intestinal (ileal) lipoma, resulting in intestinal obstruction. A 51-year-old female patient presented to the emergency department with a complaint of abdominal pain persisting for five days, along with nausea and vomiting. A computed tomography (CT) scan revealed an intraluminal soft tissue lesion with a fatty component located in the distal ileum. Emergency laparoscopic exploration confirmed intussusception in the terminal ileum, which was subsequently resected with a 5 cm safety margin on both sides. The resected ileal segment was anastomosed end-to-end. The patient recovered well, and histopathological examination confirmed the diagnosis of an intraluminal intestinal lipoma. In cases of adult intussusception, consideration should be given to the possibility of a small intestinal intraluminal lipoma. Surgical resection is generally recommended for diagnosis and treatment of symptomatic intestinal lipomas.

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