Foreign body ingestion and its subsequent impaction are a common accident encountered in paediatric age group all over the world. A 2 year old girl was referred to SRTR Medical College Ambajogai with complains of stridor, difficulty in swallowing and fever for 8 days. The mother gave a doubtful history of ingestion of a 50 paise coin 20 days back. A tracheotomy was carried out and the patient started on higher antibiotics. The patient was coming out of anaesthesia well but she suffered with fatal cardiorespiratory arrest 4 hrs after admission. Post mortem examination revealed a foreign body affect the cricopharyngeal level with a lot of granulation and infection around it and bilateral pneumonitis. The cause of death was ascertained as septicaemia and pneumonia secondary to impacted foreign body at cricoparynx.

Keywords: Foreign body ingestion; Tracheotomy; Bilateral pneumonitis.