English: We present a the case of a 50 year old woman (history of malnutrition, chronic obstructive pulmonary disease) accepted in the Digestive and Surgery Division due to an intestinal obstruction of 3 days. The patient underwent emergency surgery for intestinal obstruction, with removal of impacted bezoar in the ileocecal valve. After 48 h, the patient started in sepsis by intestinal suture dehiscence. Right hemicolectomy was performed urgently with cleaning of the peritoneal cavity. After 72 h of operation, in the ICU, the patient situation turn to worse by a suture dehiscence of the anastomosis, requiring a new emergency surgery. Due to septic state by a colonic dehiscence and disseminated peritonitis, and the inability to perform anastomosis, colectomy and terminal ileostomy. A Bogotá bag laparostomy was precised due to the abdominal Compartimental syndrome (intra-abdominal pressure index of 25, intraabdominal pressure measurements was done intravesically).