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Images in paediatrics
A giant aneurysm arising from renal angiomyolipoma in tuberous sclerosis
  1. N A Choh1,
  2. S A Choh2,
  3. R Yousuf1,
  4. M Jehangir1
  1. 1
    Department of Radiology, SMHS Hospital, Srinagar, India
  2. 2
    Department of Pediatrics, SKIMS, Soura, Srinagar, India
  1. Dr Suhil A Choh, House No. E-12, Cooperative Colony, Pirbagh, Srinagar, India; suhilchoh{at}rediffmail.com

https://doi.org/10.1136/adc.2008.143610

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    Angiomyolipomas are found in 40% patients with tuberous sclerosis; such lesions tend to bleed because of their hypervascularity and the presence of small aneurysms. Very large macroaneurysms are rarely seen in imaging of these patients. We report a case of a partially thrombosed, giant aneurysm arising from the left renal parenchyma in a patient with tuberous sclerosis.

    CASE REPORT

    A young 14-year-old female presented with left lumbar pain of 2 weeks’ duration and a palpable lump. Ultrasound revealed a mixed echogenic mass arising from the left kidney. Contrast-enhanced computed tomography (CT) of the abdomen was carried out. Bilateral small hypodense lesions were noted in the renal parenchyma …

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    Footnotes

    • Competing interests: None.

    • Patient consent: Parental consent obtained.