Introduction: The intrarectal foreign body is an uncommon reason for consultation in our practice, especially in the elderly, and the questioning of the patient in this type of situation is not always successful. Fatal complications may be life–threatening apart from early diagnosis and adequate management. Observation: This was a 70–year–old patient with no history, admitted in emergency for hypogastric pain with dysuria. the clinical examination revealed a hypogastric sensitivity and the rectal examination palpated a foreign body obstructing the rectal lumen, the abdominal CT allowed to highlight a huge foreign body occupying the pelvis. Transrectal instrumental extraction was possible under general anesthesia, and colonoscopy control confirmed the integrity of the rectal wall. Conclusion: Colonoscopy when performed immediately after transanal extraction may reduce hospital stay in the absence of rectal lesions requiring close monitoring.