Duodenal Volvulus Causing a Small Bowel Obstruction in the Setting of Superior Mesenteric Artery Syndrome

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.