Laparoscopic Duodenojejunal Bypass for Superior Mesenteric Artery Syndrome after Failed Medical Management: A Case Report

Superior mesenteric artery syndrome is an uncommon cause of proximal small bowel obstruction in which the third part of the duodenum is compressed between the superior mesenteric artery (SMA) and the aorta. It is a rare entity and is usually considered as a diagnosis of exclusion. In this case report, a 21-year-old male patient is shown who has the typical SMA syndrome symptoms such as vomiting, upper abdominal pain, and h/o weight loss. Initially, conservative management was tried for a few days, but symptoms continued to persist. The patient underwent laparoscopic duodenojejunal bypass after imaging studies confirmed the diagnosis. The patient had a smooth post-operative course and was discharged in stable condition. The minimally invasive surgical intervention is safe and successful in treating SMA syndrome and preventing complications.