Abstract
Abdominal aortic aneurysms (AAAs) in pediatric populations with tuberous sclerosis complex (TSC) are limited to sporadic case reports and small series within the distant literature. TSC is a multisystem autosomal-dominant genetic disorder with variable penetrance characterized by benign tumors and dysplastic lesions in multiple organs. Although not well understood, there remains a critical association of TSC with pediatric AAAs. We herein describe a case report and operative outcome of a 14-year-old girl with a history of TSC who presented to the emergency department with a ruptured infrarenal AAA.