HighlightsSuperior mesenteric artery syndrome is rare cause of duodenal obstruction.Superior mesenteric artery syndrome is caused by narrowing of aortomesenteric angle.High index of suspicion is needed for diagnosis.Most common cause is significant weight loss.Simple Contrast enhanced CT scan can help in reaching diagnosis.

HighlightsSpontaneous urinary bladder rupture due to chronic infection or long term indwelling urinary catheter is rare.The diagnosis need a high index of suspicion in patients with an acute abdomen, and have associated bladder conditions.

HighlightsThe use of seat belts is associated with a unique injury profile collectively termed “the seat belt syndrome”.The typical findings of peritonitis might not be present initially.The chances of intra abdominal injury in the presence of seat belt sign increase eight folds.