A 5-year-old boy, previously healthy, was admitted to Ratchaburi Hospital after being buried in a sand pile. He presented with dyspnea and tachypnea. Chest radiograph showed opaque particles in both main and segmental bronchi (sand bronchogram). The first attempt of bronchoscopy was unsatisfactory as a considerable amount of sand particles had migrated further into the distal bronchi. A second bronchoscopy
was performed with 0.9% saline lavage. Most of the sand particles were successfully removed. Intravenous steroids and antibiotics were administered for treatment. The patient was discharged uneventfully by the end of the first week of hospitalization

Keywords: Sand aspiration, Foreign body aspiration, Bronchoscopy