Management of synchronous abdominal aortic aneurysm and renal carcinoma associated with duplication of the inferior vena cava

The management of concomitant abdominal aortic aneurysm and intra-abdominal malignancies is still disputed; whether to treat the lesions simultaneousl y or as staged procedures being the main controversy. Abdominal aortic aneu rysm associated with renal carcinoma is rare and combined aneurysm repair a nd nephrectomy appears to be the treatment of choice in selected patients. We report a case where the surgical management of simultaneously occurring abdominal aortic aneurysm and renal carcinoma was complicated by the presen ce of a duplicated inferior vena cava. The rationale for the treatment of t his patient and the technical difficulties of the surgical procedure are di scussed and a review of the literature to date is reported.