Abstract
Superior mesenteric artery (SMA) syndrome is an extremely rare condition that can result from a multitude of causes that devoid the mesenteric fat pad or structurally narrow the space resulting in duodenal obstruction. It is predominantly seen in females. If not treated, it can result in life-threatening complications. Herein, we present four patients with SMA syndrome who presented to our outpatient department at Adera Medical and Surgical Center, Addis Ababa, Ethiopia.