What is buried bumper syndrome

Anterior abdominal wall showing edema, erythema, and ruptured bullae over the abdomen. Figure 2. CT image of the abdomen. Figure 3. The arrow indicates extensive subcutaneous collection of fluid and air in the abdominal wall. Figure 4. Anterior abdominal wall with erythema and edema prior to debridement. Figure 5. Bedside debridement and pulse lavage of the subcutaneous collection of the anterior abdominal wall. Figure 6. Wound vac after debridement for further drainage. References W. Gauderer, J.

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Chaplin, and R. Lee and J. Schwartz, R. Goldberg, J. Become a Gold Supporter and see no ads. Log in Sign up. Articles Cases Courses Quiz. About Recent Edits Go ad-free. Edit article. View revision history Report problem with Article. Citation, DOI and article data. Pfleger, R. Buried bumper syndrome. Reference article, Radiopaedia. Interventional , Gastrointestinal.

Syndromes , Interventional Radiology. URL of Article. On this page:. Buried bumper syndrome revisited: a rare but potentially fatal complication of PEG tube placement. Case Rep Crit Care. Buried bumper syndrome with a fatal outcome, presenting early as gastrointestinal bleeding after percutaneous endoscopic gastrostomy placement. J Postgrad Med. This can be accomplished with surgery, endoscopy, or a combination of the two, depending on the location of the bumper and the complications encountered.

Complications of PEG tubes are commonly encountered by the emergency physician. Although most complications are minor, BBS is a potentially life-threatening process that may mimic more benign conditions.

The emergency physician should have a high index of suspicion for this entity, and should be aware of historical and physical exam features that suggest BBS. Early diagnosis and surgical consultation for the management of BBS may help avoid repeated ED visits and more serious complications. Conflicts of Interest : By the West JEM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias.

The authors disclosed none. National Center for Biotechnology Information , U. West J Emerg Med. Author information Article notes Copyright and License information Disclaimer. Email: moc. This article has been cited by other articles in PMC. Abstract Percutaneous endoscopic gastrostomy PEG is a relatively safe and effective method of providing nutrition to patients with neurologic deficits or proximal gastrointestinal pathology. CASE A year-old woman presented to the emergency department ED because of pain and drainage at her percutaneous endoscopic gastrostemy PEG tube site and inability to instill fluid.

Open in a separate window. Footnotes Conflicts of Interest : By the West JEM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias.

Prevention and management of complications of percutaneous endoscopic gastrostomy PEG tubes. Pract Gastroenterol. J Pediatr Surg. Complications related to percutaneous endoscopc gastrostomy PEG tubes.

A comprehensive clinical review. J Gastrointestin Liver Dis. Audit of outcome of long-term enteral nutrition by percutaneous endoscopic gastrostomy. The buried bumper syndrome: a simple management approach in two patients. Gastrointest Endosc. Pop GH. Buried bumper syndrome: can we prevent it?