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There is acute small bowel obstruction. The transition point is due to the gastric band which is endoluminal and migrated from the stomach. In the stomach, the disconnected / fractured band tubing passes through the medial wall of the cardia where it has perforated through. The free end of the disconnected / fractured band tubing is in the gastric lumen. The remainder of the band tubing and port in the abdominal wall is well positioned.