Foreign body ingestion, particularly fish bone ingestion leading to gastrointestinal complications, is a common medical concern that is rarely associated with migration to the anal verge. This case report details an extraordinary instance involving a 27-year-old male who presented with acute anal pain and discomfort following a meal that included fish, suspected to have resulted in the ingestion of a fish bone. Diagnostic evaluation revealed a foreign body embedded superficially in the anal mucosa, confirmed through colonoscopy. Successful manual extraction was performed, leading to immediate symptom relief without complications. The patient's postoperative course was uneventful, with complete recovery noted within a week. This case underscores the importance of considering atypical presentations of foreign body migration in differential diagnoses for anal discomfort. It highlights the critical need for detailed patient history and thorough examination. Furthermore, it emphasizes the role of prompt diagnosis and intervention in mitigating potential complications associated with ingest ed foreign bodies. Enhanced awareness and targeted patient education on dietary precautions are recommended to prevent similar occurrences in the future.
