Retrieval of an aspirated bullet fragment by flexible bronchoscopy in a mechanically ventilated patient.

We report the case of a 28-year-old man who aspirated a bullet fragment following a gunshot. Review of the literature indicates this to be a rare finding. Bedside flexible bronchoscopy provided visualization of the foreign body and facilitated its removal while the patient was on a ventilator. The benefits of flexible bronchoscopy in similar conditions are discussed.