A 45/F initially presented to the Department of Gynecology with severe anemia (Hb 6 g/dL), abdominal pain, and significant weight loss of 25 kg over 3 months(post TAH+BSO few years back) She was subsequently referred to our Department of General and Laparoscopic Surgery for further evaluation.

Clinical examination revealed a pulled-up cecum. Contrast-enhanced CT abdomen demonstrated adult ileocecal intussusception. After appropriate resuscitation and stabilization, a right hemicolectomy was performed.

Her postoperative course was complicated by an enterocutaneous fistula, which was managed conservatively with satisfactory recovery.

Histopathological examination revealed aggressive colon adenocarcinoma. Genomic profiling confirmed Lynch syndrome. Her family members have been placed under appropriate surveillance protocols.

The patient is currently on adjuvant chemotherapy, has shown good nutritional recovery, and has regained weight. She has resumed her catering business and recently visited us with homemade kesari as a token of gratitude towards our surgical team.

NB: The incidence rate of adult intussusception is about 1 to 3 cases per 100,000 population per year

It accounts for less than 5% of all intussusception cases and a small percentage of adult intestinal obstructions.