Diffuse abdominal pain caused by small bowel lipoma

Abstract

Intussusception is telescoping of one segment of the intestine into the immediately distal segment of the bowel. Approximately 5% of all cases of intussusception occur in adults1. Since adult intussusception does not show typical clinical features such as acute onset, episodic abdominal pain and current jelly stools that are frequently noted in pediatric intussusception, its diagnosis is usually delayed2. In contrast to pediatric intussusception, underlying lesions are identified in 70% to 90% of patients with adult intussusception and malignant neoplasia in 40% of patients3. We report herein a case of adult ileoileal intussusception which was induced by a lipoma with a brief review of the literature.