Laparoscopic duodenojejunostomy for superior mesenteric artery syndrome in a 13 year-old boy

Abstract

Superior mesenteric artery (SMA) syndrome is a rare condition in which the third portion of the duodenum is compressed between the SMA anteriorly and the aorta posteriorly. The resulting duodenal obstruction is often due to rapid weight loss and commonly resolves with distal tube feeds. Occasionally, patients fail this medical management, and require a surgical bypass. We present the case of a male adolescent who presented with SMA syndrome and underwent laparoscopic duodenojejunostomy using a retroperitoneal technique that avoids crossing of the transverse colon and does not create a duodenal diverticulum proximal to the mesenteric root.

Keywords

• Laparoscopic duodenojejunostomy
• Superior mesenteric artery syndrome
• Pediatric superior mesenteric artery syndrome
• Pediatric laparoscopic duodenojejunostomy
• SMA syndrome