Upper airway obstruction (UAO) due to adenotonsillar hypertrophy represents one of the rare causes of pulmonary hypertension in children. We report a case of adenotonsillar hypertrophy. managed at pediatric and otorhinolaryngology departments in Bugando Medical Centre (BMC). northwestern Tanzania. https://www.roneverhart.com/Grace-Design-M801-MK2-High-Fidelity-p15168/