Laparoscopic radical nephrectomy in the presence of a duplicated inferior vena cava

Inferior vena cava (IVC) anomalies are often asymptomatic but have considerable clinical implications during retroperitoneal surgery. While laparoscopic radical nephrectomy (LRN) has become standard of care, retroperitoneal vascular injury remains one of the more common complications. Thorough knowledge of vascular anomalies enables the surgeon to appropriately plan the operative strategy and minimize intraoperative complications. We present a case of a duplicated inferior vena cava diagnosed by computer tomography and our management of it during left sided LRN.