Science and Education Publishing American Journal of Medical Case Reports 2 8 2014 08 19 Duplicated Inferior Vena Cava Co-existing with Pancreatic Divisum and Duplicated Right Renal Collecting System 155 157 EN Olusegun Sheyin Department of Medicine, Harlem Hospital Center in affiliation with Columbia University College of Physicians and Surgeons Uyi Aideyan Ayobami Eluwole Joan Culpepper-Morgan AJMCR2014283 10.12691/ajmcr-2-8-3 2014 08 06 2014 08 16 2014 08 19 Background: Duplication of the inferior vena cava (IVC) is a rare anomaly reported to occur in 0.2-3% of the population. To the best of our knowledge, there is no report of on the coexistence of duplicated IVC with pancreatic divisum in the literature. We report an incidental finding of duplicated IVC co-existing with pancreatic divisum and duplicated collecting system of the right kidney in a 25 year old man. Case Description: A 25 year-old man with history of chronic abdominal pain since childhood presented with a non-radiating epigastric abdominal pain, beginning a few hours prior to presentation. Physical examination was notable for tenderness and guarding in the epigastrium without rebound tenderness. Abdominal ultrasound revealed a normal appearing liver and spleen, but it showed a duplicated right renal collecting system. Abdominal CT revealed a duplicated IVC, a duplicated collecting system of the right kidney, and a prominent dorsal pancreatic duct consistent with pancreatic divisum. The patient was scheduled for out-patient Endoscopic Retrograde Cholangiopancreatography (ERCP), but he was lost to follow-up. Conclusion: This case describes a previously unreported co-existence of duplicated IVC with pancreatic divisum and duplicated right renal collecting system. The patient was planned for ERCP, but was lost to follow-up.