Multiple Idiopathic Aneurysms in a 10-year-old child
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A 10-year-old African-American child with chronic kidney disease, anemia, hypertension, history of stroke and multiple aneurysms are seen on prior imaging, presented with respiratory distress, swelling and cough. Review of systems revealed recent oliguria. An extensive diagnostic workup for the cause of the multiple aneurysms was performed. An infectious or immune-mediated etiology was originally suspected, though testing for HIV, tuberculosis, and fungal infections was negative. Ultrasonographic evaluation of the kidneys was performed based on the patient’s presenting symptoms and history of multiple aneurysms. Imaging revealed a 4.4 × 2.5 cm partially thrombosed left renal artery aneurysm, as well as an aneurysm of the right renal artery. Investigations confirmed diagnosis multiple idiopathic aneurysms.

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