IMAGES IN PAEDIATRICS
A giant aneurysm arising from renal angiomyolipoma in tuberous sclerosis
1 Department of Radiology, SMHS Hospital, Srinagar, India
2 Department of Pediatrics, SKIMS, Soura, Srinagar, India
Correspondence to:
Dr Suhil A Choh, House No. E-12, Cooperative Colony, Pirbagh, Srinagar, India; suhilchoh@rediffmail.com
Accepted 30 July 2008
| The first 150 words of the full text of this article appear below. |
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 with fat attenuation suggestive of angiomyolipomas. In addition, a huge partially thrombosed aneurysm was found in the inferior pole of the left kidney with peripheral fat attenuation (figs 1 and 2). The patient was also noted to have adenoma sebaceum, hypopigmented macules and
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