Inferior vena cava (IVC) aneurysms remain rare vascular entities that carry significant morbidity and potential mortality. Given the paucity of literature on this clinical entity, there is no consensus regarding management guidelines, and it is important to continue to add to the current literature body. In this report, we describe the case of a 64-year-old male diagnosed with a type III IVC aneurysm. Here, we describe this clinical presentation and discuss our management of this aneurysm in the context of the wider, yet limited literature body.