Background: In the medical field, the trend of the surgical branches has moved towards minimal invasive surgeries for reasons of decreased morbidity and mortality. To achieve this is thorough knowledge of the anatomy, with the variations of the concerned structure is required. Hence for a structure like superior mesenteric artery, the anatomic variations of its origin and branching pattern is important for accurate interpretation in diagnostic imaging, as well as in deciding the optimum elective procedure in surgical radiological, and interventional management.