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¹Sher-i-Kashmir Institute of Medical Sciences, Department of Radiology, Srinagar, J&K, India
²Sher-i-Kashmir Institute of Medical Sciences, Department of Neurosurgery, Srinagar, J&K, India DOI : 10.5137/1019-5149.JTN.2475-09.2 Trans-nasal sphenoid sinus foreign body is a rare condition. We report a case of trans-nasal gun bullet within the sphenoid sinus with breach of the floor of the sella turcica. A 42-year-old soldier presented a few weeks after a gun battle with a history of headache. The skull x-ray demonstrated a foreign body in the region of sphenoid sinus and sella. Multidetector-row CT with multiplanar reformats demonstrated a bullet within the sphenoid sinus with its tip penetrating into the sella turcica. A few days later the patient coughed up the bullet as it came out spontaneously without any intervention. This is perhaps the unique occurrence of such a foreign body. Keywords : Foreign body, Functional endoscopic sinus surgery (FESS), MDCT, Sphenoid sinus