Management of superior mesenteric artery syndrome: Two paths to go by

Superior mesenteric artery (SMA) syndrome is a rare gastrointestinal disorder characterized by vascular compression of the third part of the duodenum in the angle between the aorta and the SMA, causing partial or complete duodenal obstruction. Symptoms include postprandial vomiting, epigastric pain, and weight loss. Conservative management is the initial treatment; however, in case of failure of conservative management, surgical therapy is unavoidable. We report two cases that were diagnosed to have SMA syndrome. Both the patients were managed differently with successful outcomes. This short case series reviews the literature on the various aspects of SMA syndrome.