Here, we describe the case of a 28-year-old man with history of super morbid obesity and Type IV para-esophageal hernia, who experienced cardiac arrest following incarceration and strangulation of his hernia sac. He required emergency surgery including an exploratory laparotomy and thoracotomy, with splenectomy, omentectomy, and partial gastrectomy. He was subsequently transferred to our institution due to the anticipated difficulty of restoring intestinal continuity. Continuity was established with a retrocolic Roux-en-Y reconstruction with a 90 cm Roux limb. Despite significant soft-tissue necrosis, he eventually recovered and was able to be transferred back to pursue rehabilitation closer to his home in a rural community.

Here, we describe a case of an 86-year-old man presenting with several days of abdominal pain. Computed tomography (CT) demonstrated a radiopaque object penetrating through the stomach into the superior mesenteric vein. He was taken for exploratory laparotomy where a sharp object was noted to be extending through the posterior wall of the stomach. To control the body, an anterior gastrotomy was performed. There was no hemorrhage noted from the retroperitoneum. On gross inspection, the foreign body appeared to be consistent with a large fragment of bone. On discussion with the patient, he noted consuming a large pork chop prior to the onset of his abdominal pain. He recovered well without significant complication and was able to return home. Subsequent follow up confirmed his continued convalescence.