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February 16, 1918


Author Affiliations


JAMA. 1918;70(7):480-481. doi:10.1001/jama.1918.02600070054023

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To the Editor:  —The report of an open safety pin in an infant's stomach in The Journal, Dec. 22, 1917, might lead to the impression that an operation is always necessary in such cases. I therefore report the case of an 8 months old baby who swallowed a 1½ inch open safety pin, November 21, about 2 p. m., and later passed it. Roentgenograms taken at the request of the attending physician, Dr. Corliss Keller of Hamilton, Ohio, showed the pin to be in the stomach. Thirty-six hours later the pin was in the same position, and as the separation of the open ends of the pin, as shown in the roentgenogram, seemed to be considerably greater than the diameter of an infant's pylorus, I advised bringing the child to a hospital for operation. Several more pictures were made at the hospital, and at the end of fifty-two hours the

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