Acute airway obstruction is a rare presentation of megaoesophagus. Megaoesophagus is commonly caused by achalasia; however, we present a case of megaoesophagus caused by idiopathic dysmotility disorder. Decompression with a wide bore nasogastric tube avoided a scenario of difficult intubation or emergency front of neck access

Arteriovenous fistulae (AVF) of the head and neck region are extremely rare, especially those that occur spontaneously. We present the case of a 58 year old female with a spontaneous postauricular AVF causing troublesome pulsatile tinnitus. In this case a simple surgical procedure completely cured the patient of her symptoms.