Epistaxis in children is a common presentation, mainly due to local causes. The most common causes are due to inflammatory disease, infections and trauma. A small percentage of epistaxis in children can be caused by tumour whereby the differential diagnosis includes juvenile nasoangiofibroma and rhabdomyosarcoma. We report the case of a 2-year-old child who had presented with intermittent epistaxis that was later diagnosed to be secondary to a yolk sac tumour of the maxillary sinus.