Adult intussusception due to ileal polyp - A case report

INTRODUCTION: Intussusception can be potential cause of bowel obstruction. Varying in clinical aetiologies, intestinal polyps are the most common cause where the possibilities of malignancy increase from proximal to distal colon. Laparoscopic reduction can be considered to prevent recurrence and complications of intussusception. CASE PRESENTATION: A case report has been discussed where small bowel polyp caused intussusception which was diagnosed with Magnetic Resonance Enterography and managed with laparoscopy and bowel resection with anastomosis. 27 years old lady presented with colicky abdominal pain with no tenderness. Her initial CT abdomen showed ileo-ileal intussusception with possible soft tissue lesion. Her Magnetic Resonance Enterography (MRE) demonstrated tubular lipomatous polyp causing intussusception. She underwent elective diagnostic laparoscopy with bowel resection and anastomosis. CLINICAL DISCUSSION: Intussusception is one of the common causes of intestinal obstruction which can be caused by intestinal polyp. With variable clinical features, intussusception can be diagnosed with CT scan. Laparoscopic procedure can be performed in case of symptomatic intestinal obstruction caused by intussusception. CONCLUSION: CT abdomen can also be considered to diagnose intussusception where radiological feature of lead point can be diagnostic. Bowel resection is required in most of the cases to reduce complications of intussusception.