Superior mesenteric artery syndrome after esophagectomy with cervical esophagogastrostomy

A 50-year-old man who underwent esophagectomy with cervical esophagogastrostomy for esophageal cancer presented with superior mesenteric artery syndrome. He had severe diffuse and dull abdominal pain and frequent vomiting that began within 10 days after the operation. He also complained of indigestion and early fullness, and lost more than 5 kg of body weight during the period. The symptoms were initiated by poor oral intake and weight loss, and were relieved by nutritional support. Although it is very rare, we conclude that surgeons and radiologists should be aware of the possibility of superior mesenteric artery syndrome as one of the complications after esophagectomy.