title: Sewing machine needle retrieval from distal airways using flexible bronchoscope under fluoroscopy.
abstract: 18-year-old lady was admitted through emergency department after she accidently aspirated a long sewing machine needle into her airways. Upon examination, she was anxious with normal vital signs and without any respiratory distress with SpO2of 98% on air. Systemic examination was normal except slightly reduced breath sounds intensity on right lower side of chest. Her chest radiograph revealed needle in right lower lobe but it was not visualized on bronchoscopic examination of airways up to sub segmental level. Using flexible bronchoscope under fluoroscope guidance, needle was retrieved successfully from posterior basal sub segment of right lower lobe utilizing alligator biopsy forceps, without any noticeable complication.
authors.affiliation: Shaikh Zayed Hospital, FPGMI, Lahore, Pakistan.
authors.forename: Talha
authors.initials: T
authors.lastname: Mahmud
authors.affiliation: Shaikh Zayed Hospital, FPGMI, Lahore, Pakistan.
authors.forename: Adnan
authors.initials: A
authors.lastname: Shafiq
authors.affiliation: Shaikh Zayed Hospital, FPGMI, Lahore, Pakistan.
authors.forename: Abdul
authors.initials: A
authors.lastname: Hafeez
authors.affiliation: Shaikh Zayed Hospital, FPGMI, Lahore, Pakistan.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Saqib
authors.affiliation: Shaikh Zayed Hospital, FPGMI, Lahore, Pakistan.
authors.forename: Sidrah
authors.initials: S
authors.lastname: Farooq
keywords: Bronchoscopy; Fluoroscopy; Metallic foreign body; Sewing machine needle