Acute Buried Bumper Syndrome: A Case Report.

Area of Science:

• Gastroenterology
• Medical Complications
• Surgical Outcomes

Background:

• Percutaneous endoscopic gastrostomy (PEG) tubes are common for nutritional support.
• Buried bumper syndrome (BBS) is a known, albeit rare, complication of PEG tubes.
• BBS can lead to significant morbidity, including loss of tube function and infection.

Observation:

• A 65-year-old female with a history of stroke developed symptoms of BBS.
• The patient experienced acute onset of BBS just five weeks after PEG tube placement.
• Symptoms included loss of PEG tube patency and potential peritonitis.

Findings:

• This case presents an unusually rapid onset of BBS, contrasting with typical long-term development.
• Diagnostic confirmation involved clinical assessment and likely imaging or endoscopic procedures.
• The patient's underlying condition (stroke) may have influenced the PEG tube management or complication timeline.

Implications:

• Early recognition and diagnosis of BBS are crucial to prevent severe outcomes.
• Clinicians should consider BBS even in cases of acute onset following PEG tube placement.
• Further research into risk factors for acute BBS may be warranted.