Add to ORKGaccessibility of the injured vein have been directly correlated with survival in IVC injury.2 All concen-trated efforts should be made to repair the IVC pri-marily, reserving the caval ligation for lifesaving situations. Unfortunately, the routine ligation of the IVC causes lower limb edema and clinical sequelae, such as pain, swelling, and skin alterations.3 There are several methods to repair the IVC injury. The pri-mary repair, end to end anastomosis, endovascular stenting or graft interposition with autogenous, or synthetic materials should be considered in selected cases. However, every case should be evaluated in its own condition, and surgical approach should be adapted to the individual need of the patient. In the present case, we r...