Grisel syndrome is a rare cause of torticollis resulting from subluxation of the atlanto-axial joint (C1-C2 vertebra) joint from surrounding soft tissue inflammation. Atlanto-axial joint injuries typically occur in the setting of trauma. However, here we report a case of a non-traumatic cause of atlanto-axial joint subluxation in a child. The child initially presented to our centre with 5 days history of torticollis preceded by a few days of upper respiratory tract symptoms. The initial radiograph of the cervical spine did not demonstrate any obvious abnormality. However, due to a high index of suspicion by the attending physician, a CT of the cervical spine was performed, which indeed revealed an atlanto-axial subluxation. The patient was put on cervical traction for a few days, and discharged well with soft collar and analgesia.

Introduction: Intestinal malrotation is a consequent of deviation from the normal 270 degrees counter-clockwise rotation of the midgut during embryogenesis. It is a typically paediatric disease that manifest itself in the first month of life, usually as midgut volvulus. However adult manifestation of intestinal malrotation is not unheard of, albeit rare. Case report: his is a case report of 46 year old man with chronic abdominal pain who was subsequently diagnosed with intestinal malrotation. He was initially referred for barium enema following an incomplete colonoscopy. The suspicion of intestinal malrotation arose during barium enema, as the large bowel loops were all located on the left side. He subsequently had a plain CT following the barium enema, which confirmed the suspicion. In view of this finding, the patient was offered Ladd’s procedure by the surgical team. The patient duly declined and opted for conservative watchful waiting instead.

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