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Rationale: Cavernous internal carotid artery (ICA) pseudoaneurysm caused by non-penetrating head trauma is a rare cause of massive epistaxis. The sudden onset of epistaxis due to such a fatal aneurysm protruding into the sphenoid sinus is extremely rare in clinical practice. The management is often challenging because of anatomical inaccessibility of the bleeding point. Patient's concern: A 42-year-old man with a history of head trauma showing an ICA aneurysm eroding the sphenoid sinus followed by massive epistaxis. Diagnosis: A computerized tomography (CT) scan showed a fracture in the sphenoid sinus. CT angiogram revealed cavernous ICA pseudoaneurysm. Interventions: Endovascular coil embolization. Outcomes: The patient recovered well and was discharged without any neurological deficits Lessons: Cavernous ICA pseudoaneurysm may lead to a life-threatening situation. If a patient has a history of head trauma, post-traumatic cavernous ICA pseudoaneurysm should be considered a differential diagnosis of massive epistaxis.

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Background: Sharp foreign bodies (FBs) are rarely found in the laryngotracheobronchial (LTB) tree which may cause threatening to the life. Objective: The aim of this study is to evaluate or study the clinical details of the inhaled sharp FBs and its management in children. Methods: This is a retrospective descriptive study done in between April 2015 and May 2020. There were 22 children with inhaled sharp FB in the airway enrolled in this study. The diagnosis was done from proper history taking, clinical examination, and the X-ray of the neck, chest, and abdomen of the children. All of them underwent rigid bronchoscopy with grasping forceps for the removal of these sharp FBs. Results: Out of the 22 children, 13 were boys (59.09%) and 9 were girls (40.90%). Out of 22 cases, 4 FBs were found in the proximal part of the airway and 18 were seen in distal airways. The most common clinical presentation was chocking sensation with cough. Conclusion: Early diagnosis and prompt rigid bronchoscopy are required for preventing inhalation of the sharp FB in the LTB. Proper education to the caregivers or parents is very helpful to prevent this critical clinical entity.