Introduction: Lumbar veins drain blood from the abdominal wall and vertebral venous plexus into inferior vena cava, ascending lumbar veins, renal veins or lumbar azygos vein. Case report: We report the presence of a common lumbar vein which received the right and left third lumbar veins and left second lumbar vein.It passed in front of the body of third lumbar vertebra and drained into the posterior aspect of inferior vena cava. Conclusion: During surgical procedure of lumbar region such as the anterior approach of lumbosacral and lumbar disc spaces, injury to such a large common lumbar venous trunk may occur leading to disastrous bleeding complications and this can be avoided by prior radiographic and imaging studies.
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