Intramural duodenal hematoma is an uncommon entity, usually associated with trauma. Spontaneous intramural duodenal hematoma is an even more rare phenomenon reported in patients with anticoagulation therapy, gastrointestinal endoscopy procedure or coagulopathy. We report a case of spontaneous intramural duodenal hematoma in a 30-year-old male as a pancreatitis complication, very few cases have been known in the past and still a lot is to be discovered about this rare hematoma associated with pancreatitis. This condition can have catastrophic consequences and should be managed appropriately.

Purple urine bag syndrome (PUBS) is a very rare phenomenon strongly associated with long-term indwelling catheterization that results in an increased risk of urinary tract infection. The color change in the urine bag results from the altered metabolism of tryptophan into color pigments by certain bacteria which produce sulfates and phosphates enzymes. Although it is benign in nature, PUBS results in greater anxiety among patients and their families. The most important risk factors include long-term catheterization, female gender, chronic constipation, old age and bed-bound patients. Here, we present a case of PUBS in a middleaged woman with a history of the neurogenic bladder that needed long-term catheterization along with chronic constipation.

A 60-year-old male patient presented with complaints of pain abdomen and vomiting. Clinical examination revealed a mass in hypogastrium extending up to right iliac fossa. Exploratory laparotomy showed a jejuno-jejunal intussusception with lead point mass lesion presenting as sub-acute intestinal obstruction. Per-operative findings revealed a blackish mass. A provisional diagnosis of melanoma was made, which was subsequently confirmed on histopathology and immunohistochemistry. Gastrointestinal (GI) melanomas are rare tumors, involving ileum and anus. Jejunum is a rare site amongst the small intestinal melanomas. Intussusception is common in the pediatric age group. We report a rare case of primary jejunal malignant melanoma, presenting with sub-acute intestinal obstruction due to jejuno-jejunal intussusception. Primary melanomas have a pre-deliction for males, involve ileum and have a poor prognosis than the metastatic GI or primary cutaneous melanomas. Surgery is the treatment of choice.