Background: Impacted foreign bodies are often found and require to be surgically removed from the body. Most commonly skin and the gastrointestinal tract are the effected organs. An impacted foreign body in spleen is rarely seen in civil practice. We report an 18 months child with sewing needle accidentally impacted in the spleen. Purpose: To report the clinical presentation, radiological findings, and operative technique employed in retrieval of an impacted sewing needle in the spleen. Conclusion: To the best of our knowledge, this is the first case report in English literature of a sewing needle impacted transcutaneously in the spleen.