Adult intussusception is a rare entity which constitutes 5-10% of all intussusceptions. In adults 90% have a cause for intussusception which is usually a polyp, adenoma, adhesion, hamartoma or tumour as lead point. Rarely described lead point is heterotopic pancreatic tissue with lipoma. Hereby reporting 32 year old male presented with abdominal pain, melaena and vomiting for 1 week. His CT abdomen showed submucosal lipoma causing ileoileal intussusception. He underwent ileal resection and anastamosis. Histopathology of the specimen showed heterotopic pancreatic tissue with lipoma as lead point. A comprehensive review on intussusception in adults is attempted.

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The prevalence of solid pseudopapillary neoplasms (SPN) of the pancreas is highest in the second and third decade and primarily affects young women. SPN was classied as a rare "low grade malignant pancreatic tumour" in the 2019 WHO classication of malignancies of the digestive system. SPT has a good prognosis and is generally passive. Most common location in adults is body and tail, whereas it is head of the pancreas in children. Usually occurs as a single large mass. The gold standard investigation of choice is contrast enhanced computed tomography (CECT). Primary surgical resection is considered as the treatment of choice for SPNs. The procedure will depend on the location of the tumor. Cytohistologic examination with immunohistochemistry is required to conrm the diagnosis. Patients usually do well with a 5-year survival rate of about 97%. In this article we discuss the presentation, diagnosis, and treatment modalities of three cases of solitary pseudopapillary neoplasm of pancreas.

A 62yr old diabetic male came to emergency department with complaints of abdominal pain and vomiting since 2 days. Physical examination details of patient was pale, dehydrated, had tachycardia and hypotension. Abdomen was distended and had diffuse tenderness and guarding. Free fluid abdomen was present, and bowel sounds were absent. Patient was resuscitated. USG done outside, revealed transverse colon growth. Radiological investigations revealed pneumoperitoneum with growth arising from small bowel. Patient was resuscitated and taken up for emergency laparotomy, which revealed a dumb-bell shaped mass arising from the jejunum with perforation. Resected specimen HPE showed GIST.

Salivary gland tumours most often present as painless enlarging masses. Most are located in the parotid glands and most are benign. The principal hurdle in their management lies in the difculty in distinguishing benign from malignant tumours. Investigations such as ne needle aspiration cytology and MRI scans provide some useful information, but most cases will require surgical excision as a means of coming to a denitive diagnosis. Benign tumours and early low-grade malignancies can be adequately treated with surgery alone, while more advanced and high-grade tumours with regional lymph node metastasis will require postoperative radiotherapy. The role of chemotherapy remains largely palliative. This paper aims to study the clinico-epidemiological pattern, histological subtypes, management and postoperative complications of salivary gland neoplasms