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Benign tumors of the tracheobronchial tree are rare. Among these, the incidence of endobronchial lipoma represents about 3-9%. The authors describe the case of a 75-year-old patient who has come to observation for recurrent pulmonary infections with endoscopic finding with a flexible instrument of pedunculate bronchogenic formation obstructing the mouth of the left lower lobar bronchus. In consideration of a high risk of bleeding and to operate safely, the patient was subjected to a subsequent session in narcosis with a rigid bronchoscope and to resection of the neoformation by electrocoagulation with hot biopsy forceps through a flexible fibro-bronchoscope used for the relative peripherality of the implant base. The endoscopic treatment therefore allowed on one hand the histological diagnosis of the lesion and on the other the radicality of the removal. [ABSTRACT FROM AUTHOR]