An abdominal aortic aneurysm (AAA) is defined as a confined regional enlargement in the abdominal part of the aorta with at least 3 cm or 50% above the normal diameter of the vessel. The incidence of AAA is rare in pediatric age due to its atherosclerotic nature that is linked to advanced age. The exact etiology behind AAA in children is unknown. However, cases with unspecified causes are considered congenital, while those considered acquired are due to various underlying conditions, which include Kawasaki disease, connective tissue diseases, trauma, and infection. Encountering a patient with underlying Behcet’s disease and arterial aneurysm has been reported in the literature with different age group presentations.

Adel A. Alfayez is a distinguished pediatric surgeon at the Department of Pediatric Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia. With extensive expertise in advanced pediatric surgical procedures, Alfayez is dedicated to improving surgical outcomes and advancing pediatric healthcare through clinical excellence, research, and education.