Visceral artery aneurysms are rarely reported. They can occur in the context of a variety of underlying diseases. These aneurysms may coexist with non-visceral arterial aneurysms.Here we describe an 80-year-old man with concomitant superior mesenteric, celiac, renal, and aorto-bi-iliac aneurysms. The patient was a hypertensive and hyperlipidemic old man with history of transient ischemic attack and atherosclerotic carotid plaques who developed multiple aneurysms most likely due to degenerative atherosclerotic vascular involvement. To the best of our knowledge, this constellation of aneurysms has not yet been reported.