This case demonstrates a patient presenting with biliopancreatic (afferent) limb obstruction secondary to a trocar site incisonal hernia in the early postoperative period.

Any intra-abdominal surgical procedure can be followed by a small bowel obstruction. In bariatric surgeries, it can occur secondary to adhesions, technical errors during surgery, and hernias (internal and incisional), although it is an uncommon complication within the early postoperative period (30 days). Usual causes in this subset of patients include trocar site incisional hernia and internal hernias, secondary to inadequate fascial repair.