This case illustrates two potential complications of upper GI surgery. Benign pneumatosis is a known complication of jejunostomy placement, attributed to the inadvertent introduction of gas into the submucosal space. There are myriad caused of benign pneumatosis intestinalis, but acute ischemia should always be considered the most important cause of this radiologic finding. Whilst a leak from the anastomosis may have been inferred from the identification of a new subphrenic abscess, the oral contrast has helped to definitively confirm a leak.