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An infant 3 months of age in some manner introduced a closed safety pin into her mouth. About all the history obtainable was that the accident was followed by the appearance of some frothy secretion, after which the child fell asleep. She was very restless and could not cry aloud. On this account she was taken to a hospital, and an unsuccessful attempt was made to remove the pin. A roentgenogram showed the pin with the closed end downward about the level of the sternal notch. I saw her the next afternoon. There had been no trouble in nursing nor any marked respiratory distress. The temperature was 101 F.
The bronchoscopic tube was passed through the larynx, and the pin was seen at the lower part of the trachea, its lower portion projecting into the right main bronchus. It could not be removed through the small tube, so they were
Friedberg SA. UPPER BRONCHOSCOPY FOR A FOREIGN BODY IN AN INFANT THREE MONTHS OLD. JAMA. 1915;LXIV(20):1654. doi:10.1001/jama.1915.02570460030013