Intraoral teratoma in a newborn presenting as severe respiratory distress.

A new born female presented to us immediately after birth with mass protruding from the mouth, with severe respiratory distress and was immediately intubated. Antenatal ultrasonography did not reveal any abnormality. On examination, a non-pulsatile, multilobulated, 4 cm×5 cm sized mass of variable consistency was seen originating from the palate with no other associated congenital anomaly. CT showed a large heterogeneous mass arising from the hard palate with few hyperdense calcific areas with no intracranial extension. Mass was excised completely. Histopathological examination showed features of mature teratoma.