Abdominal wall hernias present at the time of bariatric surgery raise the issue of concomitant repair versus subsequent repair after weight loss. A case report of a patient who underwent a gastric band placement with an incidental finding of an umbilical hernia repaired primarily is presented recurring with small bowel incarceration and obstruction. A 50 year-old male underwent a gastric band placement in July of 2009. An adjustable gastric band was placed with no complications. An umbilical hernia was identified. It was repaired primarily with absorbable suture. He appeared with a non-reducible abdominal wall hernia with obstruction. A resection with anastomosis was performed. The hernia defect was repaired with biodegradable mesh. No post operative complications developed.
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