Abstract
An 82-year-old woman with small-bowel resection and percutaneous gastrostomy (PEG) tube insertion for mesenteric ischemia 2 months ago was admitted for anemia. Her hemoglobin level was 8 g/dL with no overt gastrointestinal bleeding. Upper endoscopy visualized erosion of the internal gastrostomy bumper through the wall of the gastric body (Figures A and B), consistent with buried bumper syndrome. No other gastric or duodenal ulcers were identified. Computerized tomography located the bumper in the anterior abdominal wall, not entirely within the stomach (Figures C and D).
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