case_images: PMC7078452_01
case_images: Chest x-ray after intubation showing hyperlucent left hemithorax with mediastinal shift to the contralateral side and flatting of ipsilateral hemidiaphragm.
case_images: gr1.jpg
case_images: PMC7078452_01_gr1.jpg
case_images: fig0005
case_images: Chest x-ray was done after intubation and showed Endotracheal Tube (ETT) in good position, hyperlucent left hemithorax, flatting of ipsilateral hemidiaphragm, mediastinal shift to the right, and a radiopaque areain the left main bronchus (Fig. 1).
case_images: Foreign body obstructing the trachea at the level of tracheal bifurcation. A right tracheal bronchial orifice is seen.
case_images: gr2.jpg
case_images: PMC7078452_01_gr2.jpg
case_images: fig0010
case_images: While maintaining ventilation through the side port of the rigid bronchoscope, a foreign body was seen stuck in the trachea at the level of the carina, and a large right accessory tracheal bronchus was noted above the level of the foreign body (Fig. 2).
case_images: Foreign body was the eraser part of a pencil (no popcorn pieces).
case_images: gr3.jpg
case_images: PMC7078452_01_gr3.jpg
case_images: fig0015
case_images: The foreign body was successfully retrieved as one piece under vision using fiberoptic forceps (Fig. 3).
case_images: After removal of foreign body, re-examination revealed a clear airway with confirmed right tracheal bronchus.
case_images: gr4.jpg
case_images: PMC7078452_01_gr4.jpg
case_images: fig0020
case_images: A second look at the airway was done to exclude any other injuries and revealed a clear airway with no remaining foreign body and confirmed the presence of a right tracheal bronchus (Fig. 4).
case_images: Repeated chest x-ray showing satisfactory ETT position and absence of pneumothorax.
case_images: gr5.jpg
case_images: PMC7078452_01_gr5.jpg
case_images: fig0025
case_images: PaCO2 of 141, and PaO2 of 40.3. Portable chest x-ray confirmed the ETT position and the absence of pneumothorax (Fig. 5).