Introduction: Evaluation and treatment of foreign bodies in rectum involves careful history and physical examination. The cases of forced introduction of the objects most commonly are , sexual assault , self – introduced for anal eroticism and accidental insertion.

Case Report: We describe a case of a patient with rectal impaction following self administration of a plastic bottle for anal sexual gratification. A 49 years old man was admitted in the emergency department with the history of self introduced a bottle into his rectum physical examination and abdominal X-Ray diagnosed the case as impacted foreign body in rectosigmoid. An attempt was made to deliver the bottle through the rectum but because of high lying big bottle in the sigmoid laporotomy was performed and the bottle was removed though a longitudinal incision on sigmoid colon.

Conclusion: Retained rectosigmoid foreign bodies have been encountered more frequently and present a dilemma for management and rarely laporotomy for extraction of foreign bodies was performed.