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Updated: Jan 8, 2026

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Published on: July 21, 2023
Duodenal Volvulus Causing a Small Bowel Obstruction in the Setting of Superior Mesenteric Artery Syndrome
Erik E Rabin1, Samantha Betman1, Ryan Kuhn1
1Department of Surgery, Rush University Medical Center, Chicago, Illinois, USA. (Drs. Rabin, Betman, Kuhn, and Goczalk).
Introduction:
Small bowel obstruction is a common surgical problem. Volvulus as a cause of obstruction is rare, and duodenal volvulus has only been described in case reports.
Case Description:
A 60-year-old male presented with abdominal pain and emesis in the setting of significant weight loss. He was identified to have a spontaneous duodenal volvulus with massive gastric outlet obstruction, due to superior mesenteric artery (SMA) syndrome. He underwent laparoscopy with successful reduction of the volvulus and creation of a duodenojejunostomy.
Discussion:
Here we review all published cases of duodenal volvulus and present the first case of duodenal volvulus in the setting of SMA syndrome, treated with a minimally invasive approach.
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