Unusual Case of a Stitch in Heart

Medical examinations revealed a 35-year-old Chinese man with an intellectual disability who had metallic objects scattered throughout his body. The most prominent was a 3.6 cm needle that had pierced the heart membrane and was embedded inside the left ventricle—a very rare occurrence. He showed no symptoms related to the heart; however, imaging tests uncovered metallic objects in various areas, including the abdomen, pelvis, and reproductive organ. During surgery, the needle that posed a risk of tearing or bleeding was removed, leading to an improvement in his condition. How the objects entered his body remains unknown, but it is likely due to self-harming behavior, especially since two similar objects had been removed two years earlier. This case demonstrates that the presence of foreign objects in the heart may not produce obvious symptoms, making detection difficult—particularly in patients where obtaining an accurate medical history is challenging.

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