Foreign bodies (FBs) in the lower gastrointestinal tract are sporadically described in children. The therapeutic approach is individualized, depending on the type of FB, the location, time since insertion and the severity of bowel injuries. These FBs can be frequently removed manually or endoscopically. However, exploratory laparotomy is inevitable in unsuccessful and complicated cases. Herein we present a teenager boy with a self-inserted large perfume bottle in the sigma, and we performed the review of the published literature.