Abstract: In penetrating abdominal trauma, injury to the inferior vena cava is rare but continues to pose a taxing problem for the trauma surgeon. Despite the improved preoperative care and surgical skills, mortality rates for IVC injuries are still high. The most important factors, which play a significant role in mortality, are presence of shock on admission, the anatomical level of vena caval injury and the associated visceral and/or other major vascular injuries. The key to effective management includes early diagnosis, resuscitation and prompt surgical intervention. In this article, we present a case of successfully treated inferior vena cava injury in a young man with penetrating abdominal trauma.