Introduction: Ingestion of foreign bodies is a common problem, particularly among the elderly, pediatric, and psychiatric populations. Most of the foreign bodies pass spontaneously and uneventfully within a week. Perforation of the gallbladder by an ingested sewing needle is extremely rare, and a single case has been reported in the literature. Case Report: We report a rare case of 30-year-old woman who accidentally ingested a sewing needle, which silently perforated the stomach and migrated to the gallbladder. Conclusion: For foreign bodies in the stomach and duodenum, the general management is usually conservative. In situations such as those in our presented case, if there is a history of foreign body ingestion and failure of its progress as well as the presence of acute abdomen, there may be an indication for surgery.
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