A Rare Cause of Acute Intestinal Obstruction Successfully Managed at Bombay Gastro & Cancer Institute, Bathinda
A 65-year-old male presented to the emergency department with acute abdominal pain, vomiting, abdominal distension, and inability to pass stools, suggestive of acute intestinal obstruction.
An urgent ultrasound examination revealed ileocolic intussusception, a rare condition in adults in which the terminal ileum telescopes into the colon, causing bowel obstruction.
Minimally Invasive Surgical Management
The patient underwent a laparoscopic-assisted right hemicolectomy performed by Dr. Raman Garg, Consultant Surgical Gastroenterologist, Advanced GI, Laparoscopic & HPB Surgeon at Bombay Gastro & Cancer Institute, Bathinda.
Initially, the terminal ileum and right colon were mobilized laparoscopically, minimizing surgical trauma.
The bowel was then delivered through a small 5 cm midline incision, where a Right Hemicolectomy with Extracorporeal Ileotransverse Anastomosis was performed.
A completely laparoscopic procedure was technically feasible; however, a laparoscopic-assisted approach was chosen after discussion with the patient because of financial constraints, while maintaining the same principles of safe and effective surgical treatment.
Histopathology Findings
Histopathological examination revealed ileocolic intussusception caused by an ileal lipoma, a benign fatty tumour acting as the lead point for the intussusception.
Postoperative Recovery
The patient's recovery was smooth and uneventful:
- Early return of bowel function.
- Oral feeding resumed without difficulty.
- No postoperative complications.
- Discharged on the 6th postoperative day in satisfactory condition.
Why This Case Is Special
Adult ileocolic intussusception is an uncommon surgical emergency and almost always has an underlying pathological lead point. While malignant tumours are common causes in adults, a benign ileal lipoma causing intussusception is relatively rare.
This case also demonstrates that laparoscopic-assisted surgery can provide the benefits of minimally invasive surgery while remaining a cost-effective option for patients with financial limitations. By combining laparoscopic mobilization with a small incision for bowel resection and anastomosis, excellent outcomes can be achieved without compromising surgical safety.
Advanced Laparoscopic and Colorectal Surgery by Dr. Raman Garg
Dr. Raman Garg is a leading Surgical Gastroenterologist in Bathinda, with expertise in laparoscopic and laparoscopic-assisted colorectal surgery, emergency intestinal obstruction surgery, and minimally invasive gastrointestinal procedures tailored to each patient's clinical and financial circumstances.
Patients from Bathinda, Punjab, Haryana, Rajasthan, and neighbouring states seek treatment from Dr. Raman Garg for advanced laparoscopic and colorectal surgical care.
Patient: 65-year-old Male
Diagnosis: Acute Intestinal Obstruction due to Adult Ileocolic Intussusception; Ileal Lipoma (Lead Point)
Procedure Performed: Laparoscopic Mobilization of Terminal Ileum and Right Colon, Laparoscopic-Assisted Right Hemicolectomy with Extracorporeal Ileotransverse Anastomosis through a 5 cm Mini-Laparotomy
Operating Surgeon: Dr. Raman Garg, Surgical Gastroenterologist, Advanced GI, Laparoscopic & HPB Surgeon, Bombay Gastro & Cancer Institute, Bathinda
Outcome: Uneventful recovery; discharged on the 6th postoperative day.
About Dr. Raman Garg
Dr. Raman Garg is a Consultant Surgical Gastroenterologist, Advanced GI, Laparoscopic and HPB Surgeon at Bombay Gastro & Cancer Institute, Bathinda. He specializes in gastrointestinal cancer surgery, liver, pancreas and bile duct surgery, colorectal surgery, hernia surgery, upper GI surgery, emergency abdominal surgery, and advanced minimally invasive procedures.
Patient identity has been withheld to maintain confidentiality. This case is shared for educational purposes with appropriate consent and privacy safeguards.
