There exists a small percentage of patients with metastatic germ cell tumours who have direct involvement of the inferior vena cava or tumour thrombosis of the inferior vena cava. The authors describe a case of patient with a bulky metastatic germ cell tumour with involvement of the inferior vena cava. Incidence, surgical management and complications in patients with such extent of disease are reviewed.

        Key words: inferior vena cava – germ cell tumour – testis – retroperitoneal lymphadenectomy