Laparoscopic duodenojejunostomy in a patient with superior mesenteric artery syndrome

SMA syndrome is a rare occlusive vascular disease small bowel obstruction due to compression of 3rd part of duodenum between aorta and SMA. The patient usually presents with duodenal obstruction signs such as bilious vomiting, rapid weight loss. We present a case of a 23-years-old male patient with symptoms of GI obstruction. The radiological investigations revealed obstruction of 3rd part of duodenum between superior mesenteric artery and aorta with reduced aorto-SMA angle. After no significant improvement with conservative management was seen, the patient underwent laparoscopic duodenojejunostomy with complete resolution of symptoms.