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Peer-reviewedCC BYUrology Case Reports

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

  • Muhammad Wajid Siddique1
  • Muhammad Waqas2
  • Muhammad Hanzla Shahzad1
  • Muhammad Hassaan Javaid3
  • Nazila Dalir4
4 affiliations
  1. 1Ameer-ud-din Medical College, Lahore, Pakistan
  2. 2Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan
  3. 3Shifa College of Medicine, Islamabad, Pakistan
  4. 4School of Medicine, St. George's University, St. George's, Grenada; Corresponding author.
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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.

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Cite

BibTeXRIS
BibTeX
@article{siddique2026recognizing,
  title = {{Recognizing a duplicated inferior vena cava during radical nephrectomy for papillary renal cell carcinoma: A case report}},
  author = {Muhammad Wajid Siddique and Muhammad Waqas and Muhammad Hanzla Shahzad and Muhammad Hassaan Javaid and Nazila Dalir},
  journal = {Urology Case Reports},
  year = {2026},
  month = oct,
  doi = {10.1016/j.eucr.2026.103651},
  url = {https://doi.org/10.1016/j.eucr.2026.103651},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Recognizing a duplicated inferior vena cava during radical nephrectomy for papillary renal cell carcinoma: A case report
AU  - Muhammad Wajid Siddique
AU  - Muhammad Waqas
AU  - Muhammad Hanzla Shahzad
AU  - Muhammad Hassaan Javaid
AU  - Nazila Dalir
PY  - 2026
DA  - 2026/10/23
JO  - Urology Case Reports
DO  - 10.1016/j.eucr.2026.103651
UR  - https://doi.org/10.1016/j.eucr.2026.103651
AB  - 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.
SN  - 2214-4420
ER  -