DOI: 10.36347/sasjs.2021.v07i02.007

Pages: 56-60

Introduction: A jejunal intussusception is a rare cause of acute abdominal pain in adults, and multiple transient intussusception associated with acute pancreatitis are even more rare. Case presentation: We present the case of a 28-year-old gentleman who presented in December 2017 to our emergency department complaining of sever acute epigastric abdominal pain, radiating to the left upper quadrant. He mentionated drinking alcohol a day before. The blood tests illustrated raised amylase and lipase, Alcohol (Promille) was negativ. CT of abdomen also releaved double jejuno-jejunal intussusception distal from Treitz, no other pathological signs. Diagnostic laparoscopy revealed an intussusception of the proximal jejunum amount ligament of Treitz. A reduction of the intussusception was not successful. A diagnosis of jejuno-jejunal intussusception amount of Ligament of Treitz, also four more additional concomitant intussusception distal to it was confirmed during median laparotomy. A manually examination of the entire small bowel was then performed an allowed an easy manual reduction and therefore the aetiology of his intussusception was unknown. A bowel resection was not performed.Post-operatively the patient did well. This patient presented in January, June and September 2018 complaining of acute epigastric abdominal pain. CT showed multiple jejuno-jejunal intussusceptions amount and distal from ligament of Treitz without complications. As his symptoms had improved noticeably, he was therefore discharged home. Conclusion: An recurrent idiopathic multiple transient jejuno-jejunal intussusception and acute pancreatitis in an adult it is an extremely rare coexistence in adult. Since the symptoms of pain were persistent and the CT was demonstrating the diagnosis, the standard treatment of intussusception in adults should remain surgical.