Work

Recognizing a duplicated inferior vena cava during radical nephrectomy for papillary renal cell carcinoma: A case report

Year: 2026

Type: article

Abstract: Duplication of the inferior vena cava (DIVC) is a rare congenital venous anomaly with important implications during retroperitoneal surgery. A 40-year-old man presented with 3-month hematuria and mild left flank pain. CT revealed a 7-cm left renal mass, pulmonary and osseous lesions, and two separate IVC channels near the aortic bifurcation. PET/CT confirmed DIVC and suspected metastases. Open radical nephrectomy with lymph-node dissection was performed without vascular injury. Histopathology showed papillary renal cell carcinoma, ISUP grade 3, confined to the renal capsule. This case highlights the importance of recognizing DIVC before renal surgery.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2026.103651

Authors: Muhammad Wajid Siddique, Muhammad Waqas, Muhammad Hanzla Shahzad, Muhammad Hassaan Javaid, Nazila Dalir

Institutions: Shaukat Khanum Memorial Cancer Hospital and Research Center, St. George's University

Language: English

Topic: Vascular anomalies and interventions

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,160