A patient who had no evidence of atherosclerotic disease and had never been
hypertensive, presented with symptoms usually associated with gallstone di
sease. A large intraluminal calcification in the juxtarenal aorta was found
to be the probable cause of these symptoms. The aorta was otherwise free o
f atherosclerotic changes. Although it could not be identified with certain
ty, this calcification could have developed secondary to a single ulcerated
atheroma.