Abstract
Ileorectal fistulas secondary to foreign bodies are rare and difficult to diagnose. We present the case of a 59-year-old female with chronic abdominal pain, vomiting, and weight loss. Imaging studies identified a fistula between the terminal ileum and rectal ampulla, secondary to a foreign body. Surgery was performed with terminal colostomy and temporary ileostomy. This case highlights the importance of timely diagnosis and appropriate surgical management

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