[Triple jejuno-jejunal intussusception discovered and treated with laparoscopy]

Jejunojejunal intussusception is infrequent in the adult. A 17 years old women presented a right lower quadrant pain since 24 hours. Under coelioscopy, jejunum was thickened, and hyperrontractible. Three jejunojejunal intussusceptions were discovered and ensily treated under coelioscopy. During post-operative days, fibroptic gastroscopy was normal, and the first jejunal segment was normal. Intestinal barium transit showed a dilated jejunal segment with thichened mucosa. Stools parasitology was negative. Three months later, patient was admitted with right lower quadrant pain recurrence. Coelioscopy did not show any intussusception. Appendectomy was undertaken. Histological analysis showed appendiceal oxyuris. The case described is characterised by three concomitant intussusceptions, the proximal jejunal site of the intussusceptions, the site of the pain distant from the intussusceptions, the occurrence in a young adult, the coelioscopic diagnosis, and the coelioscopic treatment. Diagnostic coelioscopy with complete exploration of the small intestine permit diagnosis and treatment under coelioscopy of jejunojejunal intussusception.