Duplication of Inferior Vena Cava and Varicose Veins with Venous Ulcer – Report of a Case

Duplication of inferior vena cava (IVC) is a rare anomaly. This condition has important clinical implications due to the sluggish blood flow associated with it, including predisposition to development of deep vein thrombosis (DVT). We present a 62-year-old male patient with lower limb varicose veins and venous ulcer who was incidentally detected to have IVC duplication. We suspect that the sluggish blood flow associated with this condition might have contributed to the development of varicose vein and venous ulcer. He was managed with endovenous laser ablation of the great saphenous vein, saphenopopliteal junction ligation, phlebectomy, and foam sclerotherapy. The ulcer healed and there was no recurrence of the ulcer on follow-up.