A 13-year-old male Nigerian child of the tangale ethnic group was referred from the Ear, Nose and Throat Department of the Federal Medical Center, Gombe to the Ear, Nose and Throat Unit of the Jos University Teaching Hospital on account of an aspirated endobronchial radio-opaque foreign body he had placed in his mouth while playing in school. This referral was due to the unavailability of appropriate instruments in the referring hospital for the proper management of this patient. He presented to us 2 days following aspiration, examined and found to be calm and not dyspnoeic. Chest examination revealed decreased air entry in the right hemithorax. Chest X-ray (anterior-posterior and lateral views) taken at the referring hospital confirmed the presence of a rhomboid shaped radio-opaque object in the right main bronchus ( and ). However, he had to be referred to a neighboring Mission Hospital in Jos for proper management as the light source for a bronchoscopy in our unit was non-functional at the patient’s time of presentation. He was prepared for and had rigid bronchoscopy with the removal of a flat metallic rhomboid shaped foreign body () at the Mission Hospital. He did well post-operatively on augmentin, paracetamol and vitamin c tablets. He was discharged on the second post-operative day. Follow-up of this patient was uneventful.