Kidney transplantation is one of the mainstay therapies in chronic kidney disease. It is vital for a surgeon to know anatomy of the retroperitoneum to perform successful kidney transplantations. Inferior vena cava (IVC), traversing through the retroperitoneum, is the primarily responsible vascular structure for blood return of the lower extremities, pelvis and abdomen to the heart. In laparoscopic donor nephrectomy it is vital to know anatomy of IVC and its relations with neighboring structures. In this paper we represent a rare representation of IVC, a duplicated inferior vena cava (DIVC) case in a donor nephrectomy. Furthermore in this paper, management and possible embryological background of this unique variation is also being discussed.
