RT Journal Article SR Electronic T1 Foreign body in the vallecula presenting as acute epiglottitis with unilateral supraglottitis JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 1449 OP 1452 VO 26 IS 9 A1 Latifi Asrar A1 Nureni Oyetunji A1 Sayed S. Raza A1 Imranulhaque Zeyaulhaque YR 2005 UL http://smj.org.sa/content/26/9/1449.abstract AB Life threatening inflammatory swelling of the epiglottic and supraglottic regions secondary to a foreign body in the vallecula is an unusual occurrence. Upper airway obstruction is potentially a life threatening sequela. We present a unique case of acute epiglottitis with unilateral supraglottitis secondary to foreign body in the vallecula, which gradually improved after emergency endotracheal intubation for respiratory arrest, followed by intensive conservative management with intravenous antibiotics, cortisone and intravenous fluids. This case emphasizes that a foreign body in the vallecula presenting with severe dysphagia should be taken seriously as it may lead to life threatening complications.