Laparoscopic management of small-bowel intussusception in a 64-year-old female with ileoal lipomas

Figure 1 Abdominal echo showed prominent swelling of the intestinal wall with target signs and a hyperechoic mass of 67 mm × 60 mm in size over the right lower abdomen, and the impression was one of small-bowel intussusception with gangrenous change.

Figure 2 Computerized tomography showed ileocolic intussusception of the terminal ileum into the ascending colon with thickening of the bowel wall. There are some fat-density lesions in the lumen of terminal ileum, highly suspected terminal ileum lipoma.

Figure 3 Macroscopic finding of excised specimen showed intussusception of terminal ileum caused by multiple submucosal nodules.

Figure 4 Microscopic finding of the ileal nodule showed submucosal lipoma composed of mature adipose tissue and surrounded by a fibrotic capsule. Focal mucosal necrosis was also noted (HE, 40 ×).