Male 31, intermittent intussuception of small bowel, show on CT and does'nt on CT days later, happen twice, negative celiac and crohn, surgery need?

Talk to surgeon. It is not surprising that the CT may change from day to day given its intermittent nature. However this problem may recur at any time and at places where medical care may not be readily available and thus surgical correction may be a more prudent route. However you will need to discuss this issue with your GI doctor or surgeon re. the pros and cons .