Slipped and caught in the cecum: Endoscopic retrieval of a migrated foley feeding jejunostomy tube: A case report

Figure 1 Colonoscope. A: Endoscopic view through the percutaneous jejunostomy tract demonstrating normal jejunal mucosa and absence of the Foley catheter, confirming distal migration beyond the jejunum; B: Colonoscopic view of the cecum showing the Foley catheter balloon impacted at the ileocecal valve, resulting in near-complete luminal obstruction with surrounding pressure-related mucosal ulceration; C: Balloon decompression achieved by puncture with a 23-gauge injector needle, relieving obstruction and allowing restoration of luminal patency; D: Colonoscopic view demonstrating torsion of the Foley catheter shaft against the colonic mucosa, contributing to difficulty in retrieval.

Figure 2 Sequential endoscopic retrieval maneuvers. A: Grasping forceps used to disengage and straighten the twisted catheter; B: Snare capture facilitating controlled extraction.

Figure 3 Post-retrieval findings. A: Localized ulceration at the ileocecal valve corresponding to the impaction site; B: Focal terminal ileal ulceration secondary to prolonged catheter contact, without perforation or active bleeding.