Intussusception is a rare cause of intestinal obstruction. In adults, it is often secondary to an underlying pathology. Imaging plays a central role in the diagnosis. Surgical intervention is the treatment of choice when bowel obstruction occurs. The goal of surgery is both therapeutic and diagnostic, allowing for resection and pathological evaluation. This case of a 76-year-old female shows that early recognition and prompt surgery are crucial for a favorable outcome. The patient exhibited symptoms of bowel obstruction. The computed tomography scan clearly demonstrated intussusception of the terminal ileum into the cecum. The patient underwent urgent laparoscopic right hemicolectomy with extracorporeal anastomosis. Histological findings: intussusception with a tubulovillous adenoma with low-grade dysplasia and without invasive features. In this case, an underlying potentially malignant evolving condition was discovered and removed. In conclusion, early recognition and intervention are key to improving outcomes in patients with intussusception and intestinal obstruction signs
