The Mystery of an Eviscerated Bowel With a Yellow Tube: A Rare Presentation of Feeding Jejunostomy Intussusception

Feeding jejunostomy (FJ) is a standard surgical procedure for establishing long-term enteral access. While minor site complications are common, severe mechanical disruptions are exceedingly rare. We report a highly unusual and dramatic presentation of an FJ-induced complication. A 28-year-old male patient presented to the emergency department with a striking clinical picture: an eviscerated, congested rosette of bowel with a "yellow tube" protruding directly from the prolapsed bowel segment. Emergency exploratory laparotomy revealed a complex jejuno-jejunal intussusception acting as a lead point at the previous FJ site, further complicated by a localized intestinal perforation. The patient underwent a limited resection of the compromised jejunal segment followed by a primary end-to-end anastomosis. To maintain nutritional access, a new FJ was established distally in the healthy bowel. The postoperative course was completely uneventful, and the patient was discharged on postoperative day 5. This case highlights an exceptionally rare, life-threatening, and preventable mechanical complication of FJs. An eviscerated, intussuscepted bowel with concurrent perforation demands immediate surgical exploration, resection of the ischemic segment, and re-establishment of distal enteral feeding to ensure a successful recovery.