Introduction: Haemoptysis is uncommon in toddler. Lower respiratory tract infections and foreign body are among the common causes. Case Presentation: We are reporting a case of a child presented to emergency department with complaint of mild haemoptysis, whom was later found to have a piece of broken satay skewer at the tonsillar region. The foreign body was removed during the procedure without any complication. Discussion: Foreign body ingestion, particularly a piece of broken satay skewer, is difficult to suspect without a proper history and eyewitness. Therefore, parent’s supervision is important. Emergency residents should have a high index of suspicion of foreign body ingestion in a child with vague symptoms. Conclusion: Foreign body is among the commonest cause of haemoptysis in an afebrile toddler. Acute haemoptysis in otherwise healthy toddler should alert the emergency residents about foreign body ingestion. History of food intake should be more thorough even if trivial.

Lipoma is a benign mesenchymal tumour of adipose tissue and relatively rare occurrence in head and neck area. Mostly lipoma have a diameter of 2 cm and rarely grow beyond 10 cm. However, it may occasionally enlarge rapidly and become huge to become a giant lipoma which measures at least more than 10 cm in one dimension or weighing at least 1000g. The presentation of the anterior neck swelling is mostly related to the thyroid gland. However, it also can be the other soft tissue swellings, such as lipoma, which is the commonest mesenchymal tumours in adults. The lipomas however, are commonly involving the head and posterior neck region, which estimate about 15-20% of the cases and mostly small. We present the case of a 80-yearold man with huge anterior neck swelling for thirty years. The complete excision was performed with a good post-operative healing and cosmesis. Bangladesh Journal of Medical Science Vol.20(2) 2021 p.449-452