case_images: PMC9989009_01
case_images: Lung (A) and mediastinum (B) window of chest CT showing atelectasis in the left lower lobe; (C) under flexible bronchoscopy, residual FB lodged in the outer basal segment of the left lower lobe bronchus prior to extraction; (D,E) residual fish bone pulled by grasping forceps through flexible bronchoscope; (F) the aspect of the outer basal segment of the left lower lobe bronchus after FB removal; (G) the residual fish bone measuring 1.5 cm in length; (H) the aspect of chest x-ray on discharging. CT, computed tomography; FB, foreign body.
case_images: fped-11-1114043-g001.jpg
case_images: PMC9989009_01_fped-11-1114043-g001.jpg
case_images: F1
case_images: Although she remained asymptomatic thereafter, two repeated chest CT after initial bronchoscopy showed partially persistent atelectasis in the left lower lobe without any improvement following antibiotic treatment for about 2 weeks (Figures 1A,B). Bronchoscopic examination revealed a fish bone lodged in the outer basal segment of the left lower lobe bronchus (Figure 1C). Grasping forceps was then inserted through the working channel of the flexible bronchoscope, attempting to grasp the fish bone, and the object was pulled in the axis of the airway to prevent it from scratching or getting stuck in the bronchial wall under general anesthesia (Figures 1D-F). The FB was a sharp and hard fish bone about 1.5 cm in length (Figure 1G). The postoperative period was uneventful and the child was discharged on day 3 with a normal chest film (Figure 1H).