46year old with a BMI of 61, hypertensive,Diabetic,hypothyroid who underwent MGB developed abdominal pain ,drop in the Hb from 10 to 6 gr/dl with a drainage of 300 mls of blood 24hours later.Bleeding stopped,transfused but pain continued with tachycadrdia ' fever and hypotension.Initial ct was not conclusive hence diag lap was done to look for any leak.Paralytic ileus was present but no leak or evidence of massive bleed.Continued with I V fluids,inotrops,antibiotics but fever of103 did not settle.Repeated u/s were suboptimal.ct was repeated showed massive dilatation of stomach which was drained with a pig tail(1300 mls)