Siyal M, Tahseen MU, Asim M, Niaz TS, Zakaria N, Leghari A, Niaz SK. Slipped and caught in the cecum: Endoscopic retrieval of a migrated foley feeding jejunostomy tube: A case report. World J Clin Cases 2026; 14(8): 118316 [DOI: 10.12998/wjcc.v14.i8.118316]
Corresponding Author of This Article
Saad Khalid Niaz, CCST, FRCP, Professor, Department of Gastroenterology, Sindh Institute of Advanced Endoscopy and Gastroenterology, Baba-e-Urdu Road, Karachi 75000, Sindh, Pakistan. saad.niaz@siagpk.org
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Gastroenterology & Hepatology
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Case Report
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Mar 16, 2026 (publication date) through Mar 27, 2026
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World Journal of Clinical Cases
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2307-8960
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Siyal M, Tahseen MU, Asim M, Niaz TS, Zakaria N, Leghari A, Niaz SK. Slipped and caught in the cecum: Endoscopic retrieval of a migrated foley feeding jejunostomy tube: A case report. World J Clin Cases 2026; 14(8): 118316 [DOI: 10.12998/wjcc.v14.i8.118316]
World J Clin Cases. Mar 16, 2026; 14(8): 118316 Published online Mar 16, 2026. doi: 10.12998/wjcc.v14.i8.118316
Slipped and caught in the cecum: Endoscopic retrieval of a migrated foley feeding jejunostomy tube: A case report
Mehreen Siyal, Muhammad Umair Tahseen, Muhammad Asim, Talha Saad Niaz, Noval Zakaria, Aftab Leghari, Saad Khalid Niaz
Mehreen Siyal, Muhammad Umair Tahseen, Muhammad Asim, Noval Zakaria, Aftab Leghari, Saad Khalid Niaz, Department of Gastroenterology, Sindh Institute of Advanced Endoscopy and Gastroenterology, Karachi 75000, Sindh, Pakistan
Talha Saad Niaz, Department of Gastroenterology, Darent Valley Hospital, Dartford DA2 8DA, Kent, United Kingdom
Co-first authors: Mehreen Siyal and Muhammad Umair Tahseen.
Author contributions: Siyal M, Tahseen MU and Asim M conceived and designed the case report; Siyal M, Tahseen MU, Zakaria N and Leghari A collected the clinical data and reviewed the literature; Tahseen MU, Asim M and Niaz TS performed the endoscopic procedure and provided procedural expertise; Siyal M and Zakaria N drafted the manuscript; Niaz SK and Leghari A critically revised the manuscript for important intellectual content; all authors reviewed and approved the final version of the manuscript.
Informed consent statement: Written informed consent was obtained from the patient for the endoscopic procedure and for publication of this case report and any accompanying images and video.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Saad Khalid Niaz, CCST, FRCP, Professor, Department of Gastroenterology, Sindh Institute of Advanced Endoscopy and Gastroenterology, Baba-e-Urdu Road, Karachi 75000, Sindh, Pakistan. saad.niaz@siagpk.org
Received: December 31, 2025 Revised: January 28, 2026 Accepted: February 24, 2026 Published online: March 16, 2026 Processing time: 77 Days and 17.2 Hours
Abstract
BACKGROUND
Foley catheters are occasionally used as feeding jejunostomy tubes, particularly in resource-limited settings. While enteral tube feeding offers significant benefits, it is not without its potential complications.
CASE SUMMARY
We present a case of distal migration of a Foley catheter used as a feeding jejunostomy tube in a patient with complete dysphagia due to esophageal malignancy. The tube, with its balloon lodged at the ileocecal valve, was successfully retrieved via colonoscopy, avoiding surgical intervention.
CONCLUSION
This case underscores the importance of device selection and secure fixation in enteral feeding to prevent tube migration, and highlights colonoscopy as a safe and minimally invasive solution for this rare complication.
Core Tip: Foley catheters are sometimes used as feeding jejunostomy tubes in resource limited settings, but their use carries a risk of distal migration due to inadequate fixation. This case highlights a rare complication in which a Foley catheter migrated distally with the balloon impacted at the ileocecal valve. Successful colonoscopic retrieval avoided surgical intervention, emphasizing the importance of appropriate device selection, secure tube fixation, and the role of colonoscopy as a safe, minimally invasive management option for migrated enteral feeding tubes.
