Lipoma as a pathological lead point in a child with ileocolic intussusception

Intussusception is a common cause of mechanical bowel obstruction among children. Most cases occur during the first year of life. Intussusception can occur anywhere along the gastrointestinal tract, but most frequently originates near the ileocecal valve. Children presenting at older ages are more likely to have a pathologic lead point causing the intussusception. Herein we present a case of pediatric ileocolic intussusception with 3 intestinal lipomas as its pathologic lead point. Lipomas are rare tumors of the gastrointestinal tract with no malignant potential. Children with a discrete pathologic lead point generally require surgical exploration and bowel resection.