Successful Resection of an Occluded Inferior Vena Cava Caused by Locally Advanced Renal Cell Carcinoma of the Right Kidney

Complete thrombotic occlusion of the IVC (Inferior Vena Cava) can be life-threatening in locally advanced Renal Cell Carcinoma (RCC). We present a case of a young male patient, who first admitted with macrohematuria caused by a T4-RCC of the right kidney with complete thrombotic occlusion of the IVC. Primarily, the tumor was considered unresectable. After extensive multidisciplinary discussion, the patient was then scheduled for multi-visceral resection. Successful complete resection of the tumor could be performed; the IVC was rejected without graft interposition. After an uneventful postoperative course, the patient could be discharged home in an excellent functional state. Conclusion: Our case clearly demonstrates that in young patients with locally advanced RCC, multi-visceral resection can be performed successfully with after meticulous evaluation and risk-calculation.