Biliopancreatic limb obstruction in Roux-en-Y
gastric bypass is an infrequent complication that should be
recognized early to avoid the risk of peritonitis and death. In
this manuscript, we report a case of acute gastric remnant
dilatation secondary to intraabdominal hematoma provoked
by trocar injury that was compressing the second portion of
duodenum lumen. To treat this problem, we decided on a less
invasive treatment consisting of percutaneous decompres-
sion of the stomach. The procedure was performed using
sonographic guidance with local anesthesia, thus, avoiding a
new surgical procedure. In this selected case, percutaneous
radiological catheter placement provided an effective de-
compression of the excluded gastric remnant until sponta-
neous resolution of the obstruction
