An Unwonted Complication of Percutaneous Endoscopic Gastrostomy: A Case Report

Percutaneous endoscopic gastrostomy (PEG) is a commonly used minimally invasive procedure to provide safe and durable access for long-term enteral nutrition in patients when oral feeds are not possible. The reported complications of PEG range from minor wound infections to life-threatening complications like hemorrhage and peritonitis. The buried bumper syndrome is one of the uncommon complications with a reported incidence of 0.3 to 2.4%. Though it is considered to be a late complication, the buried bumper syndrome has been reported as early as two weeks following the procedure. A thorough knowledge about this unusual complication is important for the prevention, early recognition and successful management of this condition to avoid interruption of enteral nutrition to the patient. Here we report a case of buried bumper syndrome developed at four weeks after placement of PEG tube.