Pedunculated Lipoma of the Caecum Causing Colocolic Intussusception in an Adult

INTRODUCTION: Colocolic intussusception in adults is uncommon and poses both a diagnostic and therapeutic dilemma. The association of an underlying malignancy necessitates a preoperative confirmation of diagnosis. The presenting features are variable. Hence contrast enhanced computed tomography of the abdomen is pivotal for diagnosis. An en bloc resection of the specimen in accordance with standard oncological principles is the mainstay of treatment. CASE REPORT: A case of colocolic intussusception in an adult is presented to highlight the difficulties in preoperative diagnosis and in selecting the best surgical option for treatment. CONCLUSION: Adult bowel intussusception is a diagnostic dilemma with preoperative diagnosis being the biggest challenge. CT scan of the abdomen is an excellent diagnostic modality with high diagnostic accuracy. Explorative laparotomy with en bloc resection is mainstay of treatment in adults.