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We report a case of a tracheal foreign body caused by a sewing needle. After about four months, the patient showed delayed dry cough and hemoptysis. The sewing needle that pierced the tracheal wall damaged the aorta, and we performed endovascular stenting to prevent arterial bleeding and removed it under a bronchoscope. The patient smoothly recovered after the operation. This case proves that treatment strategies for patients with foreign bodies in the trachea can be individualized.