This patient is a child fully dependent on PEG feeding who had a PEG tube inserted at six months of age (MIC-KEY tube, Avanos Medical, Georgia, USA). Within weeks of siting the PEG, his parents complained of frequent bleeding and oozing from the stoma. Treatment with topical and systemic antibiotics did not help. A granuloma at the stoma was noted. Treatment with silver nitrate impregnated dressings proved unsuccessful. The application of gauze to act as a barrier did not result in an improvement.