A rare bowel intussusception: jejunal intussusception.

Background. - Jejunal intussusception is uncommon bi comparison with ileoco lic form. It is more frequent in children over 2 years of age and has an at ypical subacute preservation. An underlying anatomical cause is usually fou nd. Case report. - A 14-year-old boy was admitted for abdominal pain with b ilious vomiting. The physical examination was normal, with only the ultraso nography showing an intussusception in the left hypochondrium. At laparotom y the diagnosis of jejunal intussusception was made: its reduction, was imp ossible. A resection and end to end anastomosis was performed. The anatomop athology examination found a polyp in ectopic gastric mucosa. Conclusion, - Jejunal intussusception must De better understood as its diagnosis could D r made too late. Surgical exploration is the treatment of choice because of the usual underlying anatomical cause. (C) 1999 Elsevier, Paris.