Background
We are presenting the case of a 50 year old female with history retrocolic fobi pouch roux-en-Y gastric bypass with intermittent left upper quadrant pain. She underwent multiple CTs, upper and lower endoscopy. She has two CTs of different phases from the same day with only one demonstrating intussusception. The is video demonstrates the intussusception in vivo, resection and reconstruction. We also discuss risk factprs for intussusception and rationale of reconstruction.