Buried Bumper Syndrome
Left: Mucosal defect on the anterior gastric wall in a 54 year-old woman with a longstanding "button"-type gastrostomy device. After several months of uneventful daily use of the gastrostomy, the patient began to complain of discomfort at the gastrostomy site, and caretakers reported leakage from the gastrostomy site and resistance when infusing feeding. Externally, there was no erythema or purulent drainage. Endoscopy confirmed the suspicion of buried bumper syndrome: the internal bumper had migrated into the gastric wall and was no longer visible endoscopically.
Right: Close-up view of the same patient. A trickle of thin purulent fluid can be seen.
Internal portion of gastrostomy tube is partially embedded in the gastric wall of a 66 year-old woman who had undergone percutaneous endoscopic gastrostomy placement two weeks earlier.
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