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Leiomyosarcomas of the inferior vena cava (IVC) are rare tumors that occur commonly in women of middle age group and usually present with nonspecific symptoms. Treatment consists of surgical excision with or without IVC reconstruction, combined with chemotherapy and radiotherapy. We present a case of leiomyosarcoma of infrarenal IVC extending into both iliac veins, which was resected with reconstruction of IVC and both iliacs with bifurcated Dacron graft. Although IVC reconstruction is mentioned in literature, reconstruction with bifurcated graft is rare.