# Adult Small Intestinal Intussusception Due to Bleeding Lipoma: A Rare Case Report (with Video)

## TL;DR

A rare case of adult small intestinal intussusception caused by a bleeding lipoma is reported, highlighting the importance of surgery for diagnosis and treatment.

## Contribution

This case report adds to the limited literature on adult small intestinal intussusception caused by lipomas and emphasizes the need for surgical intervention.

## Key findings

- The patient presented with melena, anemia, and abdominal pain due to a bleeding lipoma causing intussusception.
- Urgent surgery confirmed the diagnosis and ruled out malignancy through histological examination.
- Surgical resection is recommended for definitive management in such cases.

## Abstract

Background and Clinical Significance: Adult small intestinal intussusception is rare and, in this population, is usually secondary to a pathological lead point, such as benign or malignant masses. The symptoms are non-specific, and patients frequently present with intermittent abdominal pain, diarrhea, nausea, vomiting, and, in rare cases, bleeding. There are currently no specific guidelines. Surgery remains the gold standard treatment. Case Presentation: We report the case of a 55-year-old female affected by Shone’s syndrome, presenting to the emergency department with melena, severe anemia, diffuse abdominal pain, weakness, and palpitations. Diagnostic tests showed active bleeding in the small intestine and a subocclusive condition. Urgent surgery was performed, revealing an intussusception. Conclusions: A multidisciplinary approach is essential for its management. Surgical resection is the only option in these cases, as it allows histological examination to rule out malignancy.