==== Front Ann Saudi MedAnn Saudi MedAnnals of Saudi Medicine0256-49470975-4466King Faisal Specialist Hospital and Research Centre 2747891810.5144/0256-4947.2016.300asm-4-300ImagesProlapse of a feeding jejunostomy Rashid Arshad aNazir Saima b a Department of Surgery, Government Medical College, Srinagar, India b Department of Pathology, Government Medical College, Srinagar, IndiaCorrespondence: Dr. Arshad Rashid, Department of Surgery, Government Medical College, Srinagar, Srinagar 190010, India, T: +917006100448, arsh002@gmail.comJul-Aug 2016 36 4 300 301 Copyright © 2016, Annals of Saudi Medicine2016This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. ==== Body Feeding jejunostomy is an excellent option for nutritional support.1 A 19-year-old female reported to the emergency department with a history of corrosive ingestion. After initial resuscitation, a Stamm feeding jejunostomy was created for nutritional support. Feeds were started on the 3rd postoperative day and she tolerated them well. She reported back to the emergency 27 days after the procedure with prolapse of the feeding jejunostomy (Figure 1) that had occurred the day before when the patient was coughing. The prolapsed part was edematous and did not show any features of ischemia or ulceration. The patient was resuscitated and hypertonic saline soaked packs were kept over the prolapsed gut. However all these conservative attempts at reducing the prolapse proved futile. Emergency surgery was performed. After a formal laparotomy, the prolapse was reduced and the feeding tube was removed. The enterotomy of the feeding tube was closed and a new Stamm jejunostomy was created distal to the original one. The patient is on followed up regularly and was doing well at the time or writing. Prolapse of feeding jejunostomy in association with changing of the feeding tube has been reported previously, 2 but in our case it occurred spontaneously without any intervention. Other unusual complications that have been reported with feeding jejunostomy are knotting and enteral migration of the tube.3,4 Once such complications occur, we believe that it is prudent to revise the jejunostomy as conservative methods usually fail. Consent Written and informed consent taken from the patient for this publication. Figure 1 Edematous and prolapsed jejunum. The patient had tied a ribbon guaze around the Foley’s catheter to prevent it from migrating inside. ==== Refs REFERENCES 1 Wani ML Ahangar AG Lone GN Singh S Dar AM Bhat MA Lone RA Feeding jejunostomy: Does the benefit overweight the risk (a retrospective study from a single centre) International J Surg 2010 8 5 387 390 2 Tan BL Sheen-Chen SM Prolapse of Feeding Jejunostomy: A Case Report Formosan J Surg 2001 34 211 213 3 Özben V Karatas A Atasoy D Simsek A Sarigül R Tortum OB A rare complication of jejunostomy tube: Enteral migration Turk J Gastroenterol 2011 22 1 83 85 21480117 4 Liao GS Hsieh HF Wu MH Chen TW Yu JC Liu YC Knot formation in the feeding jejunostomy tube: A case report and review of the literature World J Gastroenterol 2007 13 6 973 974 17352035