Newborn oropharyngeal teratomas are extremely rare disorders. Epignathus tumour is a congenital malformation characterised as a 'mature teratoma' located at the oropharyngeal region. Teratomas in the upper respiratory airway give rise to abnormal life -threatening airway obstruction during the neonatal period. It is associated with high morbidity and mortality, requiring proper and cautious planning and prompt surgery. We describe a rare case of oropharyngeal teratoma in a premature male neonate (35 weeks gestation) who presented with difficult intubation. On flexible laryngoscopy, it appeared as a large vallecular cyst, while the computed tomography scan demonstrated a posterior pharyngeal wall cystic lesion causing oropharynx narrowing. The patient was operated on 8th day postpartum. Histopathological examination was compatible with mature cystic teratoma.

Adult intussusception is not uncommon a condition that accounts for only 5% of all intussusception cases. Most of the adult intussusception has a lead point in 70-90% of cases. Presenting symptoms and signs can be non-specific and mostly indicate bowel obstruction, where there is a myriad of causes. Therefore, multiple modalities can be employed to diagnose this condition with CT imaging holds the highest diagnostic accuracy, although other modalities may be adjunct in further management of patient. Herein, we report a case of a 90-year-old gentleman who presented with non-specific symptoms and was eventually diagnosed with sigmoid-rectal intussusception on CT scan, in which prior endoscopic procedure was not able to identify the pathology. This case emphasizes the diagnostic value of CT imaging in diagnosing adult intussusception, particularly in adult patients who present with non-specific abdominal symptoms.