This case involves a female patient with a history of Crohn’s disease who underwent a colectomy for excision of a neoplastic polyp. After surgery, her diet was immediately advanced from liquid to a regular soft diet. Several days after the surgery, the patient developed extreme nausea and vomiting. She returned to the hospital and it was noted that fluid was leaking from her incision. The decision was made to return the patient to surgery for a suspected bowel obstruction. However, the surgeon did not order an NG tube to be placed. When anesthesia was started, the patient aspirated a significant amount of her stomach contents. An NG tube was then placed and more than a liter of fluid was removed. The patient suffered severe lung injury and was placed on life support.