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Splenic amyloidosis: a rare cause of spontaneous splenic rupture
R S Chan1, Y F Abdul Aziz, P Chandran
1Department of Diagnostic Imaging, Hospital Kuala Lumpur, Jalan Pahang, Kuala Lumpur 50586, Malaysia. ruohshyuan@gmail.com.
Abstract:
A 62 year-old woman who presented with an atraumatic acute abdomen was discovered to have haemoperitoneum with splenic rupture on urgent computed tomography and was immediately referred for life-saving emergency splenectomy. Histopathological examination revealed secondary splenic amyloidosis. The patient was later found to be suffering from infective endocarditis secondary to her permanent cardiac pacemaker. This report describes a patient who could have suffered from a long-standing infected vegetation on a permanent cardiac pacemaker, which led to splenic amyloidosis and spontaneous splenic rupture.
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