yemenjmedYemen Journal of MedicinecoVolume 5 Issue 1MultidisciplinaryEnglishJanuary- April 2026NNY20260422ArticleRectal Foreign Body in South Asia: A Systematic ReviewEnglishY00ShivamPandey1EnglishNSusmita KhadkaChhetri1EnglishYAayuceeAgrawal1EnglishYChahanaPathak2EnglishYSushantThapa1EnglishYMerajKamal3EnglishYBolbamRajak4EnglishYAratiBartaula5EnglishYSasi BhushanKushwaha6EnglishYParbatrajRegmi7EnglishY10.63475/yjm.v5i1.0344This systematic review aims to analyze patient demographics, insertion routes, intent, types of foreign bodies, clinical presentations, complications, and outcomes of rectal foreign bodies (RFBs) in South Asia, and to propose a management algorithm. A systematic review of case reports and case series was conducted following PRISMA 2020 (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Inclusion criteria included case reports/series of RFBs from South Asian countries with the foreign body in situ or displaced to an adjacent organ. Exclusion criteria comprised non-English articles and unavailable full texts. PubMed and Google Scholar were searched on March 5, 2023, without date restrictions. Risk of bias was assessed using the JBI Critical Appraisal Checklist for Case Reports. Data were synthesized narratively, with descriptive statistics (means, SD, and frequencies) and chi-square tests for associations, using MS Excel and JASP 0.17.3.0. The review included 108 cases from 59 case reports/series, predominantly males (95 males, 11 females, 2 unspecified), with a mean age of 33.95 years (±15.09 SD). Transanal insertion (87 cases) was the most common route, followed by ingested (14 cases) and iatrogenic (7 cases) RFBs. Management involves imaging (X-rays/computed tomography), manual or endoscopic retrieval, and surgical intervention for complications like perforation (9.2%) or peritonitis (16.9%). Post-extraction sigmoidoscopy and psychological evaluation are crucial. The diversity of the foreign objects and variability in presentations require a high index of suspicion and a sensitive and structured clinical approach.EnglishRectal foreign body, South Asia, polyembolokoilamania, transanal, sexual gratificationhttps://yemenjmed.com/admin/abstract?id=381References1619