Ileocolic and colocolic intussusception with an inflamed appendix is a rare clinical
entity in adults, particularly when caused by lipoma. A 48-year-old female nurse presented
with recurrent, intermittent, central, colicky abdominal pain for 2 months. It became
constant the night before admission and was associated with abdominal distension and
large palpable mass at the right lower quadrant. An exploratory laparotomy was carried
out and. The operative findings were ileocolic and colocolic intussusceptions with
large cecal mass (lipoma) about 5 cm × 5 cm as a lead point just close to the ileocecal
valve with an inflamed appendix, ileocolic resection was performed. Assessment of
the resected specimen confirmed the diagnosis. Cecal lipoma should be considered in
the differential diagnosis of cecal mass causing ileocecal intussusception.
Key-words:
Adult intussusception - cecal lipoma - colocolic - ileocolic - inflamed appendix
