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Communications to the Editor |

The Best Shot FREE TO VIEW

Yigal Efrati, MD
Author and Funding Information

Assaf Harofeh Medical Center Zerifin, Israel

Correspondence to: Yigal Efrati, MD, Department of Pediatric Surgery, Assaf Harofeh Medical Center, Zerifin 70300, Israel



Chest. 2003;123(3):965. doi:10.1378/chest.123.3.965-a
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Published online

To the Editor:

An 8-year-old child was merrily singing with his fellow choir members in the summer school class when he felt something entering his mouth. He mentioned noticing a girl in the classroom carrying out a throwing-like gesture, but since nothing was found in his mouth no one believed him.

Two hours later, his worried mother rushed him to their pediatrician who ordered a radiograph of the chest and abdomen (in search of a foreign body in the esophagus or stomach), which revealed a nail in his right lung (Fig 1 ). The only symptoms the child experienced were a few isolated episodes of coughing.

An immediate rigid bronchoscopy (Storz-Hopkins) barely enabled the location of the tip of the nail, which was situated in a bronchial ramification of the posterior segment of the right lower lobe. A 3.5-cm-long nail was removed with the use of a Storz optical alligator forceps. An uneventful recovery followed this incredible shot. %Accidental foreign body aspiration may occur during hard food ingestion and simultaneous conversation, or when attention is distracted while holding an object such as a pin between the lips. This perfect long-distance shot of a nail to a place deep into the lung was truly amazing.

Figure Jump LinkFigure 1. Radiograph of the chest and abdomen, showing a nail in the right lower lung.Grahic Jump Location

Figures

Figure Jump LinkFigure 1. Radiograph of the chest and abdomen, showing a nail in the right lower lung.Grahic Jump Location

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