Foreign Body (FB) within the rectum occurs infrequently and its management is challenging for the emergency physicians due to variation in type of objects, host anatomy, time of insertion, and amount of local contamination. Usually, the presentation is late after multiple unsuccessful attempts for the removal of the FB by patients themselves at home. We report a 35-year-old male patient presented to the emergency department with an FB (glass bottle) in the rectum inserted due to falling from tree. The patient was managed by exploratory laparotomy with successfully removal of FB with primary closure of rectal rent with loop ileostomy was done. We reviewed the management options from the currently available literature.