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            Notes: Reports of 4 cases of patients diagnosed with SMAS. Case 1 is an 8-year-old boy with recent history of vascular surgery found to have malrotation and a “kink” at the SMA artery. Mobilization and derotation of the duodenum was successful. Case 2 is a 12-year-old girl diagnosed with SMAS following rapid increase in height without weight gain. Conservative treatment was initially successful, but after a re-occurrence 3 months later, a Strong’s procedure was successful. Case 3 is an 11-year-old boy diagnosed with SMAS after losing weight while in a hip spica for a hip fracture. Conservative treatment with positioning combined with cutting back the cast led to remission of symptoms. Case 4 is a 9-year-old boy with scoliosis who wore a brace diagnosed with SMAS. A Strong’s procedure was successful. Includes diagrams  Link: http://www.jpedsurg.org/article/S0022-3468%2887%2980672-3/abstract