A 40-year-old male was admitted with dry cough of two months’ duration. Radiologic examination revealed an endobronchial mass obstructing the right middle lobar bronchus and poststenotic pneumonia. Despite failure in bronchoscopic diagnosis, due to suspected malignancy and difficulty for bronchoscopic resection, we performed a right middle lobectomy. The histopathological diagnosis was a lipomatous hamartoma, which was exophytic and endobronchial. We report on a rare surgical case of endobronchial lipomatous hamartoma which had occlusive and exophytic growth across the bronchial wall.