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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Radiol. Apr 28, 2026; 18(4): 120706
Published online Apr 28, 2026. doi: 10.4329/wjr.v18.i4.120706
Adult ileocolic intussusception caused by a terminal ileal lipoma: A case report
Jin-Xing Fan, Yu-Peng Jiang, Min-Quan Yao
Jin-Xing Fan, Endoscopy Center, Tongxiang First People’s Hospital, Jiaxing 314500, Zhejiang Province, China
Yu-Peng Jiang, Min-Quan Yao, Department of Gastrointestinal Surgery, Tongxiang First People’s Hospital, Jiaxing 314500, Zhejiang Province, China
Author contributions: Fan JX organized the patient information, generated the data and wrote the manuscript; Jiang YP contributed to assessment of imaging examination; Yao MQ participated in clinical and intellectual discussions related to the article; and all authors have read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Min-Quan Yao, Associate Chief Physician, Department of Gastrointestinal Surgery, Tongxiang First People’s Hospital, No. 1918 Jiaochang East Road, Jiaxing 314500, Zhejiang Province, China. tianya0573@163.com
Received: March 6, 2026
Revised: March 17, 2026
Accepted: March 30, 2026
Published online: April 28, 2026
Processing time: 49 Days and 14.3 Hours
Core Tip

Core Tip: Adult intussusception is rare and often tumor-related. This case of ileocolic intussusception in a 30-year-old male underscores the critical diagnostic role of computed tomography (CT). CT not only confirmed the intussusception but, more importantly, identified the pathognomonic fat-density lead point, enabling a preoperative diagnosis of a lipoma. This case highlights that for radiologists and clinicians, recognizing this specific CT feature is key to accurate diagnosis and appropriate surgical planning in young adults. Identifying this benign feature on CT can also help avoid unnecessary oncologic surgery.