The apparent problem arises from the pre-Newtonian prejudice that the motion of a body should be along the direction of the total force exerted on the body in all cases.
That is not the case as it happens for instance for planets around the sun. What matters in giving rise to the actual motion are the applied force(s) and the initial conditions.
Here, the force due to the constraint and the initial data give rise to the expulsion motion in the inertial reference frame.
Here are the details.
Let us assume that the tube is frictionless, so that the reaction $\vec{\phi}$ is normal to the tube -- no force along the tube exists -- and that the angular velocity is constant $\Omega>0$.
I will take advantage of a polar coordinate system $r, \theta$ in the plane containing the rotating tube centered on the rotational axis.
Newton equations read, decomposing (*) the motion along the mobile basis $\vec{e}_r, \vec{e}_\theta$:
$$m\left(\frac{d^2r}{dt^2}- r(t) \Omega^2\right)=0$$
$$m\left(2\Omega \frac{dr}{dt} \right) = \phi$$
where I used $\frac{d\theta}{dt}= \Omega$ constant and $\vec{\phi}= \phi \vec{e}_\theta$.
Notice that no inertial forces take place here as we are dealing with an inertial reference frame.
The first equation determines the motion $r=r(t)$ according to the initial data, and the second one determines $\phi(t)$ accordingly.
The first equation has general solution
$$r(t) = A \sinh (\Omega t) + B \cosh (\Omega t)$$
Let us assume that the ball is at rest in the tube at $t=0$ at distance $r_0>0$ from the axis.
As a consequence,
$r_0 = B$ and $0=\frac{dr}{dt}(0)= A\Omega$ so that $A=0$.
The solution is
$$r(t) = r_0 \cosh(\Omega t)\:.$$
The force due to the tube on the ball is $\phi \vec{e}_\theta$ with
$$\phi(t) = 2mr_0\Omega^2 \sinh(\Omega t) \:.$$
In Cartesian coordinates centered on the rotational axis with $z$ parallel to it, the (curved) trajectory has therefore the form
$$\vec{x}(t) = r_0 \cosh(\Omega t) \cos(\Omega t) \vec{e}_x + r_0 \cosh(\Omega t) \sin(\Omega t) \vec{e}_y\:. $$
(*) As is well known in that representation, the acceleration has the form
$$\ddot{\vec{x}} = \left(\ddot{r}-r\dot{\theta}^2 \right) \vec{e}_r + \left( r\ddot{\theta}+ 2 \dot{r}\dot{\theta}\right)\vec{e}_\theta\:,$$ and thus
2nd Newton's law reads
$$\vec{F} = m\left(\ddot{r}-r\dot{\theta}^2 \right) \vec{e}_r + m\left( r\ddot{\theta}+ 2 \dot{r}\dot{\theta}\right)\vec{e}_\theta\:.$$