Flexible Bronchoscopy for Sewing Pin Removal From Intrabronchial in a Young Adult: A Case Report From Calmette Hospital, Cambodia.

Foreign body aspiration is a frightening experience that can be life-threatening. Although it occurs more frequently in children, it can also affect adults, often related to neurological illness, dental procedures, or accidental aspiration during daily activities. Diagnosis relies on clinical history, imaging and bronchoscopy. We report a case of a 20-year-old Cambodian man, a wedding decorator, who accidentally inhaled a sewing pin while laughing during work. He presented with persistent cough and dyspnoea. Chest radiography initially showed the pin in the trachea, which later migrated into the left main bronchus. The foreign body was successfully removed using flexible bronchoscopy under moderate sedation, after local anaesthesia proved inadequate. The patient was discharged the same day without complications. This case demonstrates the effectiveness of flexible bronchoscopy and the importance of timely intervention in preventing surgical intervention, particularly in resource-limited settings.