RT Journal Article
SR Electronic
T1 Buried bumper syndrome presenting with bleeding
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e225876
DO 10.1136/bcr-2018-225876
VO 11
IS 1
A1 Khaled Bamakhrama
A1 Tahani Ahmed Aldaham
A1 Omar Alassaf
YR 2018
UL http://casereports.bmj.com/content/11/1/e225876.abstract
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.