A 8 years old boy arrived to the emergency departament with increased volume of his nose in the last 8 days after sustaining a facial trauma with a tree. He had epistaxis twice and bilateral nasal obstruction. At external examination he had increased volume in the distal portion of the nasal dorsum with mild erythema. Anterior rhinoscopy (see photo) shows swelling arising from the nasal septum bilateraly blocking the nostrils, with little mucus. Nasal septal hematoma was diagnosed.