OBJECTIVE: To describe a patient with foreign body PILA and management of this. CASE REPORT: A male patient, 2 years old, coming from San Antonio, Paraguay, who consulted the department of otolaryngology of the Hospital of Clinics of the FCM with a history of two weeks to develop fetid rhinorrhea, purulent unilateral left nostril obstruction nose, fever does not graduate, anorexia. CONCLUSION: we can say that inanimate foreign bodies in the nasal cavity is a very common situation in the early ages of life, however boring the level of the nasal septum is an uncommon situation. It is interesting to highlight the importance of good questions for the patient or family as well as a thorough physical examination, together with the relevant radiographs if you suspect that it is metallic. In general, the extraction of nasal foreign bodies takes place in outpatient and without requiring any type of anesthesia, but in some cases they are seeking anesthesia for the extraction of foreign bodies.