IntroductionIntussusception is defined as the invagination of one segment of the gastrointestinal tract and its mesentery (intussusceptum) into the lumen of an adjacent distal segment (intussuscipiens). Intussusception is the most common cause of acute small bowel obstruction in children aged less than three years but comprises only 1-5% of adult bowel obstruction presentations. Additionally, in the adult population, a pathological lead point is often identifiable, whereas a minority of pediatric intussusceptions present with a lead point. Of the 5% adult intussusception, malignancy forms the majority of lead point etiology (65%–70%).1 A lipoma is a rare cause of adult intussusception but has been documented in cases worldwide.2 This report describes a case of a late presentation of an adult intussusception due to a lipoma with classical imaging findings and intraoperative photographs of the lesion. The role of bowel resection in patients with large submucosal lipomas should be considered to prevent future complications.

Atraumatic splenic rupture is an uncommon but important clinical entity. We report a case of young healthy male who had pain abdomen secondary to atraumatic rupture of spleen. On thorough workup, no conditions affecting the spleen was found and the patient was suspected to have idiopathic rupture.