An experience of single incision laparoscopic duodenojejunostomy for superior mesenteric artery syndrome in a young patient

Superior mesenteric artery (SMA) syndrome is a mechanical obstruction of the third portion of the duodenum by a narrow aorto-mesenteric angle. The traditional approach to SMA syndrome was open bypass surgery. Nowadays, that conventional approach has been replaced by laparoscopic surgery. However single incision laparoscopic approach for SMA syndrome is extremely rare. A 20-year-old woman with a diagnosis of SMA syndrome was prepared for surgery after failed conservative management. To achieve surgery with a minimal scar, single incision laparoscopic duodenojejunostomy was performed and the postoperative course was uneventful. Herein, we report a patient with SMA syndrome who was treated by single incision laparoscopic duodenojejunostomy. This can be an effective surgical method for treating SMA syndrome especially in young female patients, for cosmetic reason.