Unusual neonatal case of superior mesenteric artery syndrome with Meckel’s diverticulum and literature review

Şafak Karaçay, Department of Pediatric Surgery, Yeditepe University Hospital, Istanbul, Turkey
Duygu Yılmaz, Department of Child Health and Diseases, Yeditepe University Hospital, Istanbul, Turkey
Mehmet Mert, Department of Pediatric Surgery, Adnan Menderes University, Aydin;, Turkey
Mustafa Berber, Department of Pediatrics, Division of Neonatology, Yeditepe University Hospital, Istanbul. Turkey

Superior mesenteric artery syndrome (SMAS) is a rare cause of duodenal obstruction which is characterized by compression of the duodenum due to narrowing of the space between the superior mesenteric artery and aorta. Incomplete duodenal obstruction due to SMAS in neonates is rarely reported in the literature. In this case, it is a full-term 2-day-old male with the complaint of recurrent vomiting starting soon after birth. The patient was diagnosed with SMAS and duodenoduodenostomy was performed. Accompanying Meckel’s diverticulum was excised.

Keywords: Duodenal obstruction. Newborn. Superior mesenteric artery syndrome. Vomiting.