Spontaneous splenic rupture associated with Listeria endocarditis

Most notable components were a double coronary artery bypass performed 6 years ago and a mitral valve replacement 16 years ago, for which he had since been on acenocoumarol. Contrast-enhanced computed tomographic (CT) imaging of the abdomen revealed the presence of free intraperitoneal fluid and abnormal density patterns in the splenic region--findings indicative of a rupture of the spleen with signs strongly suggestive of active subcapsular and perisplenic hemorrhaging. Infective endocarditis is a recognized albeit rare etiology of spontaneous splenic rupture [8]. [...]in up to 35% of cases of endocarditis, splenic involvement, whether in the form of abscesses or infarctions, is thought to occur [9].