Abstract
A case of long-standing bronchial foreign body which caused granulomatous changes in the bronchus and bronchiectasis after expectoration of the foreign body was reported. A 47-year-old man, who aspirated the tip of a mechanical pencil when he was about 1 year old, was admitted complaining of recurrent pneumonia. He was diagnosed as localised bronchiectasis of the left lower lobe bronchus. 7 years later, he was admitted with chest pain and dyspnea. Bronchography revealed obstruction of left B^<1+2> and lingular bronchus in addition to the left lower lobe bronchus. As the left lung was thought to be very poorly ventilated and recurrent pneumonia would occur, left pneumonectomy was done.
