Colonic lipoma presenting as colo-colic intussusception in an adult

Adult colonic intussusception caused by lipoma is rarely seen in clinical practice. Due to its infrequency, it is often incidentally diagnosed radiologically in patients presenting with abdominal pain. The challenge of pre-operative diagnosis lies in distinguishing benign lead points such as lipomas from malignant tumours, given that colonic intussusception carries a high risk of underlying malignancy. Urgent diagnosis is therefore essential to exclude a malignant cause and guide appropriate surgical management. We describe a case of a transverse colo-colic intussusception in a 50-year-old female secondary to a histologically confirmed lipoma as the lead point. The patient underwent a right hemi-colectomy and recovered well post-operatively. This case emphasizes the importance of considering intussusception in adults with abdominal pain and highlights that, rarely, they may be caused by benign colonic lesions.