Favorable minimal invasive surgery in the treatment of superior mesenteric artery syndrome: Case report

Abstract

Introduction: The Superior Mesenteric Artery Syndrome (SMAS) is a rare form of intestinal obstruction. The diagnosis is based on findings from imaging studies, including vascular compression of the duodenum by the SMA and can be associated with duodenal dilatation.

Presentation of case: We report a case of a patient with SMAS and recurrent episodes of intestinal obstruction, which was successfully treated by laparoscopic duodenojejunostomy.

Discussion: The initial treatment is usually conservative for patient's clinical improvement. Surgery is indicated when conservative treatment fails as well for patients with recurrent symptoms. Minimal invasive surgery might be a good approach, specially in patients who suffers from this disease and currently are in depleted health conditions.

Conclusion: The procedure herein demonstrated may be considered safe and resolutive, with good visualization of structures, relative short surgical time and fast post-operative recovery.

Keywords: Duodenal obstruction; Laparoscopic duodenojejunostomy; Superior mesenteric artery syndrome; Wilkie syndrome.