Superior mesenteric artery syndrome (SMAS) rarely causes duodenal obstruction by compression of the third part of duodenum between aorta & superior mesenteric artery (SMA).Clinical diagnosis and radiological features play crucial role in the diagnosis of SMAS. Majority of the patients diagnosed with SMAS are managed conservatively and surgery done for cases not responding to medical treatment. Here in we report a male aged 55 years, presenting with acute recurrent abdominal pain associated with vomiting, diagnosed to have SMAS who underwent surgical correction and describe the clinical and radiological findings.