Factitious Disorder Imposed on Another (FDIA), formerly called Munchausen Syndrome by Proxy, is a disorder characterized by the falsification of symptoms of illness and diagnostic testing by a perpetrator in another individual to satisfy a psychological need of the perpetrator. This case report describes the clinical course of a 14-month-old female who presented with a purported swallowed foreign body who was eventually found to be a victim of FDIA following multiple presentations to the emergency department and extensive diagnostic workup. This manuscript aims to shed light on the complexity and potential harm that FDIA can cause patients as well as the burden on the healthcare system and to discuss the challenges in diagnosing FDIA in pediatric patients