Abstract

planned. While waiting for the operation, sudden-onset cyanosis was noted after several episodes of stress coughing. Emergent intubation was performed and a chest radiograph obtained 6 h after the initial examination showed total left lung collapse (Fig. 2). At emergent rigid bronchoscopy a peanut was seen impacted in the orifice of the left main bronchus. The typical radiological signs of foreign body aspiration are localized air trapping (50%), atelectasis, and infection [1]. Although unusual in the acute setting, lobar collapse is suspicious for aspirated foreign body in a young child. The shifting lobar collapse in this patient is striking and demonstrates that an aspirated foreign body can move and potentially worsen the clinical condition.

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