Giant intramural lipoma causing colonic intussusception with multiple jejunal intussusceptions - a case report

Lipoma of the descending colon is an unusual pathological lead point for intussusception. A 28 year old male presented with acute intestinal obstruction which was confirmed by clinical examination and radiography. Intussusception was suspected after ultrasonography. Laparotomy revealed multiple jejunal intussusceptions with intussuscepted descending colon. An approximately 5 cm × 4 cm intramural colonic lipoma was found to be the inciting pathology. Lipomata larger than 4 cm are considered "giant". Computerized tomography can provide definitive diagnosis. Management includes surgical removal with confirmation by histopathology.