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Transcatheter Arterial Embolization for Atraumatic Splenic Rupture in TEE-negative Endocarditis: A Case Report.

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Spontaneous splenic rupture is a rare complication of infective endocarditis. This case highlights successful treatment with endovascular embolization and antibiotics, avoiding surgery.

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Radiology

Background:

  • Spontaneous splenic rupture is a rare complication of infective endocarditis.
  • Infective endocarditis can lead to serious systemic complications.
  • Atraumatic splenic rupture requires prompt diagnosis and management.

Purpose of the Study:

  • To report a case of atraumatic splenic rupture secondary to infective endocarditis.
  • To discuss the successful management of this rare complication.
  • To emphasize the importance of early imaging in suspected cases.

Main Methods:

  • Case presentation of a 56-year-old female with a history of valve replacement and atrial fibrillation.
  • Diagnosis of infective endocarditis caused by *Haemophilus parainfluenza*.
  • Treatment of splenic rupture via endovascular embolization.

Main Results:

  • Successful endovascular embolization of atraumatic splenic rupture.
  • Durable cure achieved with a six-week course of antibiotics.
  • No surgical intervention was required for the spleen or prosthetic valve.

Conclusions:

  • Transcatheter arterial embolization is a viable treatment for atraumatic splenic rupture.
  • Early consideration of imaging is crucial for patients with infective endocarditis and unexplained symptoms.
  • Conservative management with antibiotics can be effective in selected cases.