A 56-year-old man with a large paraesophageal hiatus hernia, treated in a foreign clinic with a Nissen fundoplication (when a lesion of the gastric fornix during laparoscopic dissection has determined conversion to open technique) is admited 3 weeks after surgery, being diagnosed with an esophageal leekage witch maintains a large subphrenic abscess with sepsis. The patient was cured by draining the leakage, excluding the esophagus by an “à minima” alimentary jejunostomy, under broad spectrum antibiotherapy.