Persistent gastrocutaneous fistula (GCF) is a common complication after removal of a gastrostomy tube.Many different techniques for GCF closure have been described.A novel technique involving a Breast Pumps punch biopsy device was recently described, called the Punch Excision of Epithelialized Tract (PEET) procedure.This case report describes a serious complication of necrotizing soft tissue infection after utilizing the PEET procedure Monitor Accessories for a GCF closure.