This represents a case of generalised ileus. The patient presented with intermittent abdominal pain. A preoperative diagnosis of juxta-visceral aortic aneurysm was made, and he was treated with an axillo-uni-iliac and visceral bypass with spliced Dacron 8 mm to 8 mm polytetrafluoroethylene (PTFE) bifurcated graft with subsequent explantation. On postoperative day 7, abdominal distension was noted. An abdominal x-ray revealed postoperative ileus. The patient was started on IV fluids and a regular diet.