THE ROLE OF POINT OF CARE ULTRASOUND IN ADULT INTUSSUSCEPTION Adult intussusception is a rare clinical condition often characterized by vague symptoms in patients. The rarity of this condition can complicate and delay its diagnosis, especially when patients present to district hospitals that have limited imaging modalities, such as computed tomography (CT) scans. In such circumstances, point-of-care ultrasound (POCUS) assumes a pivotal role in diagnosing intussusception in adults, as ultrasonography devices are typically readily available in emergency departments. This paper presents a case involving a 23-year-old female who presented with nonspecific abdominal pain at a district hospital and was eventually diagnosed with intussusception. However, owing to the rarity of the case, the unusual nature of the presenting complaints, and the clinician’s limited exposure and experience with ultrasound findings related to intussusception, the diagnosis posed a considerable challenge. Nevertheless, the timely and expert application of POCUS proved to be a life-saving intervention, as intussusception was successfully diagnosed at the bedside in the emergency department in tertiary hospital. This case underscores the critical importance of proper training in POCUS for diagnosing adult intussusception.

Subclavian steal syndrome (SSS) is a manifestation of vertebrobasilar artery insufficiency due to stenosis of the proximal subclavian artery. It is a common vascular disorder; however, most patients are asymptomatic, and the disorder is commonly found incidentally during imaging. Nevertheless, some patients may present with arm ischemia or signs and symptoms of vertebrobasilar insufficiency, such as vertigo, dizziness, diplopia, ataxia, dysarthria, and syncopal episodes. We present a case of a male patient who presented with sudden onset dizziness, syncopal episodes, and blood pressure discrepancy between his arms. Diagnosis was a challenge, and the patient underwent several investigations, including basic bloodwork, electrocardiography (ECG), echocardiography, brain computed tomography (CT), and coronary CT angiography (CTA). Narrowing in the proximal left subclavian artery was found during coronary CTA, which confirmed the diagnosis of SSS.
Subclavian Steal Syndrome ; Syncope ; Angioplasty