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Herniation through the mesenteric gaps is the most common cause of small bowel obstruction after Roux-en-Y Gastric Bypass (RYGB) and a frequent cause of abdominal pain. A high degree of suspicion and an assertive diagnosis are required to prevent severe complications. Surgical revision is the optimal treatment and can be performed by MIS. Ricard Corcelles performed surgical revision of a patient with this problem.