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A girl's injuries from being impaled on a toy were so "unbelievable" that doctors thought she was a victim of child abuse.
The unidentified three-year-old from Germany slipped while jumping around on the sofa and landed on the leg of an upturned mini ironing board - which went up her bottom.
It went 8 inches inside her and her shocked parents pulled it out, causing her to start gushing blood.
After being taken to the hospital in an ambulance, she was taken to an emergency room where doctors couldn't believe her parents' story.
They brought the toy which was bloody and had a small amount of “tissue” on it. She was suffering from severe abdominal pain but had stopped bleeding.
Child welfare services were called because her injuries were so unlikely - but apart from the damage to her anus, there was nothing to suggest that her parents had been abusive.
Doctors in Stuttgart suspected the rod had ruptured her intestines - but an ultrasound showed nothing significant.
A girl's injuries from being impaled on a toy were so "unbelievable" that doctors thought she was a victim of child abuse, medics have revealed. Picture Shows: X-rays showing air bubbles near her rectum (left) and under the kidney (right), suggesting she had a rupture in her intestines
She was given antibiotics to stop any infection and was monitored for eight hours when she started vomiting her own feces.
Follow-up tests revealed a small hole in her intestines.
They put her under general anesthesia and operated to determine the extent of the damage, finding a small tear in the organ. Surgeons stitched it back together.
She remained in intensive care for two days and was transferred to a regular ward for 15 days before discharge.
But she did not recover well at home, vomited regularly and had a fever, and was readmitted after two weeks.
An ultrasound found a suspected foreign body in her liver, causing the area to swell and become covered in pus.
She was given antibiotics and the doctors decided to operate on her again.
They found a 7mm x 7mm portion of her diaper attached to the liver and immediately removed it, draining the surrounding pus.
Write in Journal of Pediatric Surgery Case Reports Doctors claimed that anal injuries in children were extremely rare.
They said: “In our case, the bizarre history led us to suspect abuse.
“Based on all the surgical findings, especially the diaper material left behind in the liver, the parents’ description of the accident was very plausible.”