PEG or Percutaneous endoscopic gastrostomy is a well known and widely used procedure. With adequate methodology of instrumentation and follow up it has very low rate of complications directly related or non-related to the procedure. Such complications include accidental retirement, wound infection, deterioration of tube, migration to sub-cutaneous tissue and others. We present a case in which a patient with long history of PEG shows up at our ER with melena (upper GI bleeding).