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C. Winfield Perkins, M.D.
JAMA. 1917;LXIX(25):2104. doi:10.1001/jama.1917.25910520003011b.
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A mother, after a temporary absence, entering the room of her child, aged 14 months, noted that the youngster was swallowing with difficulty. These symptoms terminated in a short time. The mother, naturally becoming suspicious, examined the child's clothing, and where there had been two safety pins, only one was in evidence. A physician was then consulted, and a careful watch for symptoms with a daily examination of the stools was made, without any results. The child all the time seemed perfectly well, showing no symptoms of discomfort whatsoever. A week passed, and the little patient was referred by Dr. J. P. Seward for roentgen examination.

Fluoroscopic and roentgenographic examination visualized and open safety pin lodged in the pyloric region. It was decided to wait a while longer with the hope that the pin might pass, as the child continued in good physical condition. The second roentgenogram, a week later,


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