Multiple jejuno-jejunal intussusception in an adolescent

Adoloscent t and adult intussusception (AI) is a rare cause of bowel obstruction and is often associated with a pathologic lead point located in a single region of bowel. The mechanism of intussusception is not fully understood, but it is believed to result from a lesion in the bowel wall that alters the peristaltic pattern of the bowel causing invagination. In cases where no lead point is identified, intussusception may be due to submucosal bowel edema, fibrous adhesions or dysrhythmic contractions. We report a case of multiple simultaneous jejuno-jejunal intussusceptions in a 16 year-old boy who presented with a 1 month history of intermittent, crampy epigastric abdominal pain and nausea. All investigations were normal and Computed tomography imaging was inconclusive. The patient underwent Diagnostic laparoscopy, and five separate regions of intussusception were discovered in the jejunum, which was resected through a mini-laparotomy.