case_images: PMC5064277_01
case_images: Gastrojejunal anastomosis - first surgery: RYGB, it seems to be a little ischemic area at the gastric pouch which was covered with omentum
case_images: 0102-6720-abcd-29-s1-00136-gf1.jpg
case_images: PMC5064277_01_0102-6720-abcd-29-s1-00136-gf1.jpg
case_images: f1
case_images: The team decides to surgically explore her, finding hemoperitoneum with a minor leak on the anterior aspect of the gastric reservoir (Figure 1).
case_images: Gastrojejunal anastomosis - second surgery: the ischemic area is bigger than the last surgery
case_images: 0102-6720-abcd-29-s1-00136-gf6.jpg
case_images: PMC5064277_01_0102-6720-abcd-29-s1-00136-gf6.jpg
case_images: f2
case_images: The team decides to re-explore her, finding the same liquid without leak and a violet gastric reservoir (Figure 2).
case_images: Third surgery: necrotic pouch
case_images: 0102-6720-abcd-29-s1-00136-gf3.jpg
case_images: PMC5064277_01_0102-6720-abcd-29-s1-00136-gf3.jpg
case_images: f3
case_images: Was decided to resect the reservoir performing a primary esophagojejunal anastomosis, lavage and jejunostomy (Figures 3 and  4 ).
case_images: Section of the proximal jejunum
case_images: 0102-6720-abcd-29-s1-00136-gf8.jpg
case_images: PMC5064277_01_0102-6720-abcd-29-s1-00136-gf8.jpg
case_images: f4
case_images: Was decided to resect the reservoir performing a primary esophagojejunal anastomosis, lavage and jejunostomy (Figures 3 and  4 ).