Korean Circ J.  1992 Apr;22(2):330-334. 10.4070/kcj.1992.22.2.330.

Splenic Rupture Complicated by Infective Endocarditis

• Shin JH
• Lim SW
• Kwon HM
• Kim HS

• KMID: 2229187
• DOI: http://doi.org/10.4070/kcj.1992.22.2.330

Abstract

In complication of infective endocaditis splenomegaly and splenic infarction are not uncommon but splenic rupture is very rare. We report a case of splenic rupture complicated by infective endocarditis in 1 71-yr-old man who had been suffered from rheumatic heart disease (aortic regurgitation and stenosis and mitral regurgitation). The patient was admitted to mild fever and generalized weakness for 20 days. Diagnosis of infective endocarditis due to Staphylococcus epidermidis was made by clinical manifestaions and blood culture study.On 34th day of admissionthe patient suddenly displayed the symptoms and signs of massive intraperitoneal hemorrhage. Splenic rupture was revealed by paracentesis and radiologic studies. Rupture of spleen is an uncommon and usually fatal complication of infective endocarditis. Therefore early diagnosis and prompt treatment must be performed.

Keyword

Splenic rupture; Infective endorcarditis

MeSH Terms

Constriction, Pathologic
Diagnosis
Early Diagnosis
Endocarditis*
Fever
Hemorrhage
Humans
Paracentesis
Rheumatic Heart Disease
Rupture
Spleen
Splenic Infarction
Splenic Rupture*
Splenomegaly
Staphylococcus epidermidis