PT - JOURNAL ARTICLE AU - Khaled Bamakhrama AU - Tahani Ahmed Aldaham AU - Omar Alassaf TI - Buried bumper syndrome presenting with bleeding AID - 10.1136/bcr-2018-225876 DP - 2018 Nov 01 TA - BMJ Case Reports PG - e225876 VI - 11 IP - 1 4099 - http://casereports.bmj.com/content/11/1/e225876.short 4100 - http://casereports.bmj.com/content/11/1/e225876.full SO - BMJ Case Reports2018 Nov 01; 11 AB - 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.