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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.
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 …