Foreign body ingestion is common in children. The accidental ingestion is usually seen in children due to lingual curiosity. Most of the foreign body passes spontaneously through gastrointestinal (GI) tract; hence, requiring no removal. This is a case of impacted hairpin in the duodenum of a 4-month-old female child who accidentally ingested hairpin and was asymptomatic initially for 1 month and later presented with melena requiring surgical removal of hairpin. We failed to find in literature impacted hairpin in the duodenum associated with GI bleeding
