Benign Spindle Cell Tumour Presenting as a Lead Point for Ileocaecal Intussusseption: A Rare Case Report

Abstract

Background: This is a rare case of a benign spindle cell tumour in an adult acting as a lead point for intussusception. Presentation of Case: We hereby present a case of 65 yr old male patient presenting as subacute intestinal obstruction and was found to have ileocecal intussusception on investigation. Patient underwent ileo- ileal resection anastomosis of the involved segment. Postoperatively the specimen was subjected to histopathological examination revealing a globular growth in the lumen of the ileum which on microscopic evaluation revealed benign spindle cell tumour of the gastrointestinal tract which acted as a lead point in this case of intussusception. Recovery of the patient was uneventful and was discharged as per hospital protocol. Conclusion: In elderly age group such tumours causing bowel obstruction or intussusception are usually malignant with possible metastasis at the time of presentation whereas in this case the tumour acting as a lead point was benign hence making it a rare presentation. The rarity of benign spindle cell tumour as a lead point would add to the existing literature.