Buried bumper syndrome presenting with bleeding.

Research paper by Khaled K Bamakhrama, Tahani Ahmed TA Aldaham, Omar O Alassaf

Indexed on: 21 Dec '18Published on: 21 Dec '18Published in: BMJ case reports


Buried bumper syndrome (BBS) is a relatively rare complication of percutaneous endoscopic gastrostomy (PEG) feeding. In this paper, we report the case of a 74-year-old man who attended the emergency department with bleeding from the PEG tube site that was later confirmed by endoscopy to be BBS. The treatment consisted of a PEG tube replacement with a 10-day course of antibiotics. Furthermore, this report discusses possible signs, symptoms and physical examination signs suggesting BBS. It can cause serious complications that might sometimes be fatal. Therefore, the diagnosis needs to be done swiftly and the patient treatment to start without delay. BBS should always top the differentials of physicians once suspected. © BMJ Publishing Group Limited 2018. No commercial re-use. See rights and permissions. Published by BMJ.