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We describe a case of an 11\u2010year\u2010old child, who aspirated a sewing needle that lodged in a distal subsegment of the medial segment of the right lower lobe. As a result, it was visible only with the 2.8\u2009mm flexible bronchoscope (FOB). Mono\u2010planar fluoroscopic guidance was useful for confirming the placement of the 2.8\u2009mm bronchoscope and allowing for a biopsy forceps to grasp the needle and move it to a larger airway, where it could then be removed safely using a larger FOB. Removal of radiopaque foreign bodies in the distal airways is possible with the aid of fluoroscopy and a small bronchoscope. This report also highlights the risk of aspirating sharp objects when they are placed into the mouth, especially by children, and the dangers posed by sharp object foreign body aspiration.<\/jats:p>","DOI":"10.1002\/ppul.24653","type":"journal-article","created":{"date-parts":[[2020,1,15]],"date-time":"2020-01-15T17:33:35Z","timestamp":1579109615000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Removal of distal airway foreign body with the help of fluoroscopy in a child"],"prefix":"10.1002","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1146-1307","authenticated-orcid":false,"given":"Pierre","family":"Goussard","sequence":"first","affiliation":[{"name":"Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences Stellenbosch University and Tygerberg Hospital  Cape Town South 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