Intussusception is a common finding in children accounting for approximately 25% of all abdominal emergencies in patients below five years of age. This, however, is a rare observation in adults accounting for only 5% of all intussusceptions. Among them, those leading to acute intestinal obstruction are about 1-5%. Diagnosis is based on radiographic findings seen on ultrasonography or CT scan as the presentation in adults is often difficult to diagnose clinically due to the variable presentation. We present here a case of intussusception in a 24 year old male presenting as acute intestinal obstruction. Exploratory laparotomy with resection of the bowel segment was done followed by end to end anastomosis. Post-operative course was uneventful.

Traumatic cardiac tamponade due to blunt chest injury is a life threatening and time-critical emergency that requires early recognition and prompt management often alongside other resuscitative considerations. We present here a case of 25 year old male with history of blunt chest trauma with hypotension and raised central pressures. The patient was taken up for exploratory laparotomy which proved negative and the central tendon bulge of diaphragm was seen. Hence, the decision was made to examine the pericardial space via thoracotomy to find cardiac tamponade of 400 cc. Immediate intra- operative stabilization of vitals was seen on relieving the intra pericardial pressures. Any patient with severe blunt chest trauma, disproportionate hypotension that is not responding to fluid resuscitation along with elevated central venous pressures should be thoroughly evaluated for cardiac tamponade.