Epidural venous engorgement due to epidural collaterals can occur due to various causes such as inferior Vena Cava agenesis(1,2), abdominal malignancy(3,4), inferior vena cava occlusion /thrombosis secondary to contraceptive use(3,5,2), pregnancy(3,6) arteriovenous malformation(7), Budd Chiari syndrome (7), Bechets disease(3) & protein C deficiency(3). Patients with such epidural venous plexus engorgement usually present with low backacke ,radiculopathy or neurogenic claudication(4,8,9). In rare circumstances patient develop neurological deficits or cauda equina syndrome(10). Bladder & bowel involvement and weakness of lower limbs are the most serious consequences of such epidural collaterals .We present here a case of a 30 year old female who presented with abdominal pain ,the causes of which was found to be IVC thrombosis .Patients also had lower backache and radiculopathy which on MRI of spine was found to be the result of extensive epidural collaterals leading to thecal sac and foraminal compression, the cause of which was inferior vena cava thrombosis in this patient.