Tumors of the small intestine are rare. Even though the small bowel accounts for 80% of the length and 90% of the
mucosal surface of the gastrointestinal tract, only 3% to 6% of gastrointestinal tumors and 1% of gastrointestinal
malignancies arise from the small bowel. Leiomyoma, adenoma, lipoma, haemangioma, fibroma and hamartoma of
the small intestine are considered to be benign neoplasm. Most small bowel tumors are incidental findings at
operation or autopsy. Here we present a case of benign tumour of the small intestine, histologically diagnosed as
leiomyoma, presented in Surgery Emergency Ward with intestinal obstruction, treated conservatively with no
improvement and hence subjected to emergency exploratory laparotomy which revealed intusussception and leading
cause of which was a benign leiomyoma. The literature is revised emphasizing issues of pathophysiology, specific
characteristics and the treatment of this tumour.