Intussusception is uncommon in neonates, especially preterm neonates. Even rarer is the presence of multiple intussusceptions. As the classical signs of intussusception are not present in preterm neonates, the diagnosis is often confused with necrotizing enterocolitis, a much more common abdominal pathology. This delay in diagnosis is thought to be responsible for the high rate of perforations and necrosis seen in intussusception in preterm neonates. We describe a 25 week gestation preterm male neonate who presented with jejuno-jejuno and jejuno-ileal intussusceptions. To our knowledge this is only the second reported case of multiple intussusceptions in a preterm neonate. In addition, we provide some clinical guidelines that may help in making an earlier diagnosis.
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