We read with great interest "Migratory foreign body of neck in a battered baby: A case report" by Bakshi et al. [1]. They have described an unusual case of foreign body in neck of battered child. We would like to share a similar experience of child abuse caused by percutaneous insertion of sewing needles in neck and abdomen.A 1-month-old male child was referred to our hospital with neck swelling for last 3 days.On examination, a hard foreign body was palpated. Overlying skin was normal. Radiograph neck revealed multiple linear metallic foreign bodies (FB) seen in the neck and upper mediastinum (Fig. 1). Computed tomographic scan confirmed multiple needle-shaped foreign bodies in the soft tissues of the neck. One of the foreign bodies was seen piercing the body of fourth cervical vertebra (Fig. 2). Parents denied of any history of foreign body ingestion/fall over the sewing needles. No significant past history was present. A history of unwanted pregnancy was elicited from the parents. Skeletal survey revealed two metallic foreign bodies in the abdomen (Fig. 1). However no fractures were seen. Diagnosis of child physical abuse was based on discrepancy between the history and the clinical findings.
展开▼