Abstract
The tuberous sclerosis complex is a multisystem disorder affecting children and adults. The association between abdominal aortic aneurysm and tuberous sclerosis is rare. We present 3-year-old girl with a pulsatile abdominal mass in the pediatrician´s medical review. An abdominal evaluation showed a 6cm infrarenal abdominal aortic aneurysm. The patient underwent open repair with a 14-mm Dacron tube graft. The histological examination revealed connective tissue proliferation, fibrosis, and calcification of the aortic wall. Frequent follow-ups with ultrasounds showed no alterations. Due to the high risk of rupture, early surgical repair is the first-line therapy.
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