Highlights This is a case report of a young male diagnosed with Superior Mesenteric Artery syndrome during the period of fasting during Ramadan. The purpose of this report is to support physicians in a way of considering this as a differential when their patient presents similarly because it is not exclusive only to anorexic persons and can occur in a population that is fasting as well. The method of management was conservative and this clarifies that surgery does not necessarily have to be the first line treatment.