Blunt chest injury is a common presentation to the emergency department, it may result in a variety of delayed sequelae. However, a delayed hemoptysis after blunt trauma is rare. We report a case of a 36-year-old woman presenting with hemoptysis 20 years after an accidental fall from the first floor. Imaging revealed an intra-parenchymal migration of a fragment from the left fourth rib. The diagnosis was confirmed by video-assisted thoracoscopic surgery (VATS) with mini-thoracotomy, which enabled the extraction of the bone fragment.
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