Foreign body aspiration into the respiratory tract is a life-threatening condition and an important cause of morbidity and mortality due to the suffocation in the pediatric age.

We present a foreign body aspiration which is related to a seven-year-old Iranian boy. His complaints included an intermittent cough and dyspnea. The distal impacted endobronchial foreign body has been retrieved by using rat tooth forceps under C-arm-guided flexible bronchoscopy after the failure of two previous interventions.

In order to reduce the unsuccessful efforts and also mortality and morbidity rate which are the result of foreign body aspiration, early recognition and also appropriate intervention are crucial. For this purpose, the use of the fluoroscope C-arm device before bronchoscopy may increase the chance of successful extraction of an endobronchial foreign body.