eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2023-06-29 11 5 104 106 10.12691/ajmcr-11-5-6 AJMCR20231156 article Mohammed A. M. El Habiel mhabiel@seha.ae 1 Mohammed Hidayathullah Khan 2 Javereeya Abduljabbar 3 General Surgery Resident, Tawam Hospital- Al Ain- U.A.E Consultant Urology, Tawam Hospital- Al Ain- U.A.Ey Urology Resident, Tawam Hospital- Al Ain- U.A.E Foley catheterization is a common daily procedure done in our practice. Iatrogenic rectal perforation during urethral Foley catheterization is a very rare complication. There are multiple underlying risk factors that can lead to this devastating complication, including friable rectal tissues due to underlying trauma, radiation. Additionally, the type of Foley catheter and the technique of insertion can lead to this complication. The presentation of the patient is always alarming and can aid in making the diagnosis. The management, always, depends on the whole patient clinical condition, and it ranges from conservative management and changing the catheter under vision, to laparotomy and rectal perforation repair. We are presenting a case report of a comorbid patient suffered this complication in our facility. http://pubs.sciepub.com/ajmcr/11/5/6/ajmcr-11-5-6.pdf iatrogenic rectal perforation urethral Foley catheterization