Laparoscopic Duodenojejunostomy for a Rare Case of Wilkie’s Syndrome

Superior Mesenteric Artery syndrome, also known as Wilkie’s syndrome, is a rare upper GI disorder presenting with recurrent vomiting and weight loss. It is due to the compression of the third part of the duodenum by the superior mesenteric artery (SMA) for various reasons. Contrast CT scan of the abdomen will confirm the diagnosis. Laparoscopic duodenojejunostomy is now the standard of care for lasting relief for this unusual cause of proximal bowel obstruction. We have reported an interesting case of SMA syndrome in a young girl and discussed the technical tips for safe laparoscopic surgery.