© 2020 by The Medical Bulletin of İstanbul Haseki Training and Research Hospital The Medical Bulletin of Haseki published by Galenos Yayınevi.Foreign body (FB) ingestion is a serious problem in children. A small number of the FBs swallowed migrate from the gastrointestinal tract to the peritoneal cavity or solid organs in the abdomen such as the liver. Imaging techniques, including fluoroscopy and ultrasound (US), are used perioperatively for their surgical removal. In prolonged interventions, the radiation emitted during fluoroscopy is undesirable for both healthcare workers and pediatric patients. In this case report, we share our clinical experience of removing two sewing needles, one from the liver and one from the left axillary region, from an 11-yearold male, with the guidance of perioperative US.