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March 14, 1977

Use of Fluoroscopy in the Removal of Aspirated Foreign Bodies

JAMA. 1977;237(11):1077. doi:10.1001/jama.1977.03270380021004

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To the Editor.—  The recovery of aspirated foreign bodies remains a challenge to the endoscopist and often taxes his greatest skills. Within a one-week period, two young patients were seen with the identical problem of a straight pin aspirated into the depths of the left lower lobe.

Report of Cases.—Case 1.—  The first patient, an 11-month-old child, arrived in the emergency room with a history of acute onset of cough that began during play with her mother's sewing kit. Results of physical examination were normal. A chest roentgenogram showed a straight pin in the left lower lobe (Fig 1).Under general anesthesia, attempts were made to remove the pin with use of a 5-mm Jackson bronchoscope and foreign body forceps. Although the top of the pin could be intermittently visualized, it could not be engaged by the forceps. As a final maneuver prior to thoracotomy, a portable fluoroscope