“Blood, Blood Everywhere”: A Case of Buried Bumper Syndrome Presenting as Melena and Hematochezia

Presenter Information (List ALL Authors)

Roy Subash Kondapavuluru, Internal Medicine, Knapp Medical Center, The University of Texas Rio Grande Valley School of Medicine
Baron S. Ekeledo, The University of Texas Rio Grande Valley School of MedicineFollow
Jian Garcia Cruz, Internal Medicine, Knapp Medical Center, The University of Texas Rio Grande Valley School of MedicineFollow
Eunbee Cho, Internal Medicine, Knapp Medical Center, The University of Texas Rio Grande Valley School of MedicineFollow
Balakrishna Ravella
Sudheer K. Kanumari

Presenting Author

Roy Subash Kondapavuluru

Presentation Type

Poster

Discipline Track

Clinical Science

Abstract Type

Case Report

Abstract

Gastrostomy tubes are frequently placed for a variety of conditions that cause interference with oral intake or gastric decompression and are used for enteral feeding, hydration, and medication administration in patients who are likely to have prolonged inadequate oral intake. Buried bumper syndrome is an extremely rare, but major complication of gastrostomy tubes which results due to tight apposition of the external bumper against the abdominal wall and erosion of the internal bumper of the gastrostomy tube against the gastric wall. The overall incidence has been reported to be 0.3 to 2.6 % of all patients with gastrostomy tubes. We present a patient who presented with melena, hematochezia and severe blood loss anemia, and was found to have buried bumper syndrome.

Academic/Professional Position

Resident

Mentor/PI Department

Internal Medicine

Recommended Citation

Kondapavuluru, Roy Subash; Ekeledo, Baron S.; Garcia Cruz, Jian; Cho, Eunbee; Ravella, Balakrishna; and Kanumari, Sudheer K., "“Blood, Blood Everywhere”: A Case of Buried Bumper Syndrome Presenting as Melena and Hematochezia" (2024). Research Symposium. 35.
https://scholarworks.utrgv.edu/somrs/2023/posters/35