HighlightsPneumatosis intestinalis is a poorly understood phenomenon with a multitude of causes.It may mimic other gastrointestinal conditions ranging from benign to life threatening ones.A high index of suspicion is required to reach the correct diagnosis in order to provide optimal care for the patient.G.I amyloidosis is among the rare causes for secondary pneumatosis intestinalis.

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Approximately 2–4 per cent of small bowel obstructions (SBO) are caused by bezoars. In addition, presentation with features of acute surgical abdomen is extremely rare, accounting for only 1% of the patients. A bezoar is a concretion of indigestible material found in the gastrointestinal tract, which usually forms in the stomach and passes into the small bowel, where it can cause SBO. We present the case of a 63-year-old male who presented with SBO following ingestion of boiled olive leaves as herbal treatment for diabetes mellitus.

Small bowel metastasis from malignant tumors is generally rare and underreported. Numerous cases might be overlooked. Direct spread is more frequent and comes from colon, ovary, stomach, and uterus. Less commonly, hematogenous distant metastasis from melanoma, lung, and breast is encountered. Melanoma represents the most frequent primary source, while uterus is a less common source. In this report, we present a case of small bowel metastatic tumor from uterus presenting with profound anemia and impending obstruction.

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