SMA Syndrome with Peptic Ulcer Perforation: A rare co-existence

Abstract

Superior mesenteric artery (SMA) syndrome is a rare acquired cause of high small bowel obstruction resulting in repeated vomiting. Only few cases have been reported in literature so far mostly associated with chronic debilitating diseases. We encountered an adult male who presented with repeated vomiting when he was recovering from an exploratory laparotomy done for peptic ulcer perforation. He was diagnosed as a case of SMA syndrome on clinical suspicion and Barium meal study. Subsequently duodenal obstruction was relieved by re-exploration and duodeno-jejunostomy. Patient recovered well with above procedure.