title: Unexpected foreign body in the leg of an 8-month-old child.
abstract: Accidents and injuries associated with foreign bodies are important causes of childhood mortality. Diagnosis can be facilitated by obtaining a detailed history, performing a physical examination and utilising simple imaging methods. We report a case involving a fragmented sewing needle in the left leg of an 8-month-old male infant. He was admitted to our clinic with diffuse pain in the left leg, limitation of leg movements and an inability to stand. The patient was successfully treated with open surgery under fluoroscopy. Soft tissue foreign bodies and potential child physical abuse should be considered in children with ambiguous symptoms and unusual skin lesions. Parents should be educated on prevention of household accidents involving children. Penetration of sewing needles into the body has been rarely reported in the literature. We thus report this case to draw attention to the complications and morbidity associated with a delayed diagnosis in such cases.
authors.affiliation: Department of Orthopaedics, Kanuni Sultan Suleyman Education and Research Hospital, Istanbul, Turkey.
authors.forename: Tahir Mutlu
authors.initials: TM
authors.lastname: Duymuş
authors.affiliation: Department of Orthopaedics, Kanuni Sultan Suleyman Education and Research Hospital, Istanbul, Turkey.
authors.forename: Serhat
authors.initials: S
authors.lastname: Mutlu
authors.affiliation: Department of Dermatology, Harran University Medical School, Şanlıurfa, Turkey.
authors.forename: Enver
authors.initials: E
authors.lastname: Turan
authors.affiliation: Department of Orthopaedics, Taksim Education and Research Hospital, Istanbul, Turkey.
authors.forename: Harun
authors.initials: H
authors.lastname: Mutlu
mesh_terms: D057210:Delayed Diagnosis; D003937:Diagnosis, Differential; D005471:Fluoroscopy; D005547:Foreign Bodies / Q000175:diagnosis*; D006801:Humans; D007223:Infant; D007866:Leg; D008297:Male; D009339:Needles; D010808:Physical Examination