The bronchial cast formation is a rare phenomenon which occurs exceptionally in association with pneumonia, asthma, mucoviscidosis, bronchial mucoid impaction, alveolar proteinosis, and bronchiectasis, Such diseases can produce severe obstructive
conditions formation of variable size of cast. In report, we describe a child with bronchial cast and subsequent atelectasis who was treated with flexible bronchofiberscope to remove it.
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