Renal cell carcinomas are the most common renal neoplasm with high mortality. Recurrence of neoplasm is not uncommon following treatment. However, we present an extremely rare case of 74-year-old male patient of recurrent renal cell carcinoma with tumour thrombosis into left circumaortic vein which has not been reported previously in literature to our best knowledge. CT urography is the study of choice for clear delineation of the site and extension of the neoplastic lesion. Rare venous anomalies of renal vein are of utmost importance in order to plan surgical management and prognosis in follow-up cases especially after partial nephrectomy.
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