Superior mesenteric artery syndrome: A case report

Abstract

Superior mesenteric artery syndrome (SMAS) involves vascular compression of the third part of the duodenum, eventually leading to gastrointestinal obstruction. Duodenojejunostomy is indicated after failure of conservative management. We report a case of a cachetic 19-year-old female patient suffered from SMA syndrome for 8 months. Upper endoscopy and preoperative imaging (upper GI series and abdominal CT scan) confirmed the diagnosis. Duodenojejunostomy was performed after obtaining informed consent from the patient. Intraoperatively a dilated duodenum to the level of third part of duodenum was noted. A side-to-side two-layer anastomosis was performed. The patient was discharged home on postoperative day #7. She gained 1.2 kg within 1 month.