Intraoperative findings of duplicated Inferior Vena Cava during laparoscopic para-aortic lymphadenectomy

A 57-year-old patient with a diagnosis of ovarian clear cell carcinoma after bilateral adnexectomy underwent surgical staging at our gynecologic oncologic center. During laparoscopic para-aortic lymphadenectomy, we identified and exposed the double infrarenal vena cava (Edwards’ Classification [ 1 ]), with the left inferior vena cava terminating in the left renal vein (Figure 1). No paracaval or interaortocaval lymph nodes were found on the left side. Surgery was performed without intraoperative or postoperative complications.