Complicated lower rectal perforation secondary to ingested meat bone foreign body injury: a case report.

Most ingested foreign bodies (FBs) commonly pass through the gastrointestinal tract without complications. However, sharp objects, such as bones, may cause mucosal injury, perforation, and abscess formation. Rectal impaction is rare, but can pose a diagnostic challenge, especially in nonspecific presentations, such as anal pain. We report a case of a 40-year-old male patient who first presented with severe acute anal pain. He was later found to have complex anorectal abscesses and a rectal perforation secondary to the manual removal of an ingested meat bone FB. Surgical exploration revealed a full-thickness rectal perforation and anorectal abscesses, which were subsequently drained, and the perforation was repaired. This case highlights the importance of considering FB related complications in patients presenting with anal pain, especially following manipulation. Prompt imaging and surgical intervention are key to preventing severe outcomes.