CASE PRESENTATION: A 57 year-old patient with a total laryngectomy for squamous cell carcinoma presented with recurrent pneumonias. One year prior, a CT scan identified a foreign body lodged in his bronchus intermedius with an occluded and partially collapsed middle and lower lobe. Bronchoscopic attempts were performed but unsuccessful in removing this object. Patient underwent a right posterolateral thoracotomy, and after palpation of the foreign body in the bronchus intermedius, a transverse bronchotomy was performed with successful extraction of the foreign body. The bronchotomy was closed with interrupted 4-0 PDS and covered with an intercostal muscle flap.