CASE REPORTnecessary in these cases and usually is done under bronchoscopy guidance (Fig. 1).A multidisciplinary team with diagnostic and interventional radiologist s, pulmonologist s, anesthesiologist s, and otorhinolaryngologists was formed, and a comprehensive plan was formulated. In view of the radiopaque nature of the pin, it was decided to attempt removal under fluoroscopic and bronchoscopic guidance. Both flexible and rigid bronchoscope-guided retrieval was attempted, but the first attempt failed as the pin was lodged partly in the third-generation bronchus. It was decided to repeat the procedure under general anesthesia and both bronchoscopic and fluoroscopic guidance. A snare was passed into the appropriate bronchus, and removal was attempted. However, there was an inadvertent displacement of the pin into the lung parenchyma during attempted retrieval (Fig. 2).While thoracotomy is the next-line procedure for this scenario, it was temporarily deferred. The patient was counseled regarding
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