Laparoscopic Resection of Adult Small Bowel Intussuscepting Lipoma with Intracorporeal Anastomosis: A Case Report

Intussusception, derived from the Latin roots intu “within” and susceptio “action of undertaking,” is the invagination of segments of bowel creating an often-transient obstruction. Adult cases account for only 5% [1] of all gastrointestinal intussusception cases and are commonly attributed to the formation of a small bowel lipoma. Adult intussusception is a very rare occurrence with some estimates of only 2 cases per year in the United States [2]. Intussusception can further be classified by the location along gastrointestinal tract: enteroenteric, colocolic, ileocolic, and ileocecal [3]. Although there is no specific sign of intussusception in adults, abdominal pain is frequently investigated with CT with oral and intravenous (IV) contrast imaging which can reveal a telescoped segment of bowel, “target sign.”