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Buried bumper syndrome presenting with bleeding
  1. Khaled Bamakhrama1,
  2. Tahani Ahmed Aldaham2 and
  3. Omar Alassaf3
  1. 1 Gastroenterology department, Dubai health authority, Dubai, UAE
  2. 2 Internal Medicine, Dubai Health Authority, Dubai, United Arab Emirates
  3. 3 Internal Medicine, Dubai Health Authority, Dubai, United Arab Emirates
  1. Correspondence to Dr Tahani Ahmed Aldaham, taaldaham{at}


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.

  • parenteral / enteral feeding
  • endoscopy
  • gastrointestinal system

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  • Patient consent for publication Next of kin consent obtained.

  • Contributors KB has contributed in writing the learning objectives, figures and in the discuss planning. TAA has contributed in the concept and design, writing the treatment and discuss panel. OA has contributed in writing the case presentation, discussion and planning.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.