Tension pneumothorax caused by ventilating rigid bronchoscopy for removal of foreign body

Tension pneumothorax during ventilating bronchoscopy for foreign body removal is a rare but life threatening complication, which if not promptly diagnosed and treated can pro ve fatal. We present a case of tension pneumothorax, due to a laceration in the right main brondius caused by bronchoscope, in a one year old child, who underwent bronchoscopy for removal of foreign body (bead). The child was successfully treated and managed by immediate insertion of 14 gauge IV cannula in the pleural cavity followed by chest tube insertion. The laceration was subsequently repaired and foreign body removed by thoracotomy.