Muhammad Ali, Sohail Aslam, Farhan Ahmed Majeed, Muhammad Ashfaq.
An unusual foreign body bronchus (open Safety Pin).
Pak Armed Forces Med J Jan ;58(3):348-9.

A 14 year girl accidentally inhaled an open safety pin, while she was pining the clothes. She suddenly developed a severe bout of cough and a choking sensation in her throat which settled in few hours. Her chest X-ray was done immediately which revealed an open safety pin in the right main bronchus with its pointed end facing upwards. Bronchoscopy was attempted in a civil hospital but the pin could not be removed. Subsequently, she was boneset to our hospital for management. Bronchoscopy was done with a rigid bronchoscope under antibiotic and steroid cover. The bronchoscopy revealed an open safety pin in right main bronchus with pointed end of pin piercing the bronchial wall. The pointed end of safety pin was addressed first by grasping forceps (as Clerf-Arrowsmith safety pin closing forceps is not available) and its impaction from the wall was drawn out very slowly. The pointed tip was then brought inside the bronschoscope followed by non pointed end of the safety pin. The procedure of safety pin removal wa s completed successfully without any tissue injury. Post-operatively patient recovered smoothly and was discharged after 48 hours.

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