A case of infective endocarditis mimicking a large mesenteric abscess

Yokota, Kyoko; Sakamoto, A.; Takatsu, Fumiaki; Hashida, Shinsuke

doi:10.1016/j.jiac.2022.03.005

Cited by 1 publication

(1 citation statement)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Indeed, to our knowledge, there is only one published report of a mesenteric abscesses secondary to IE where the proposed pathogenesis was infarction of the mesentery, with subsequent bacterial proliferation and abscess formation [ 7 ]. Given that our patient had confirmed staphylococcal bacteraemia with multiple distant emboli and no alternative source of intra-abdominal infection, as well as concordant histopathological findings, our case appears to support this theory.…”

Section: Discussionmentioning

confidence: 99%

Haemorrhagic mesenteric abscess in infective endocarditis: a unique cause of spontaneous haemoperitoneum

Read

Walker

Menon

2023

Journal of Surgical Case Reports

View full text Add to dashboard Cite

Spontaneous haemoperitoneum (SH) is a rare but life-threatening condition with several well-recognized causes. SH often occurs in anticoagulated patients and requires urgent treatment to prevent mortality. SH is rarely associated with infective endocarditis (IE). To date, there are no reported cases of a haemorrhagic mesenteric abscess causing haemoperitoneum. We present the case of a warfarinized 30-year-old intravenous drug user with IE 2 weeks post-revision of a metallic valve who reported abdominal pain and subsequently suffered haemodynamic collapse. Abdominal computed tomography and damage-control laparotomy revealed haemoperitoneum secondary to an actively bleeding mesenteric nodule which was resected. Histopathology confirmed a haemorrhagic mesenteric abscess representing a rare sequela of IE and a novel cause of SH. Given that the incidence of IE appears to be increasing in people who inject drugs in Australia, the general surgeon should be aware of this clinical entity and the need for urgent intervention to prevent catastrophic sequelae.

show abstract

Section: Discussionmentioning

confidence: 99%