Background. Many patients with bronchial foreign bodies present to the hospital complaining of chronic respiratory symptoms such as cough. We report a case of involving the bronchoscopic removal of fish bone that had been aspirated two years previously along with a review of the relevant literature. Case. A 71-year old woman presented to our hospital complaining of cough. In October 20XX, the chest computed tomography (CT) showed atelectasis in the left lobe and a mass with a high-density line at the entrance of the left lobe branch. Results. Bronchoscopy revealed a fish bone in the left upper lobe. Considering the risk of airway bleeding, the patient was referred to an advanced medical institution where respiratory surgical assistance is available and bronchoscopic removal of the fish bone was performed. Since bleeding was observed during the procedure, the fish bone was removed by grasping forceps while stopping the bleeding. Conclusion. In patients with complaints of chronic cough, it is important to conduct a detailed medical interview about aspiration, and to perform radiological imaging, mainly CT, at an early stage. Moreover, when removing fish bones, it is important to assume the potential for airway bleeding and to perform a preoperative examination and make appropriate preparations.