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Christou C, Kipling M, Wayman J, et al. Splenic infarction due to septic emboli from bacterial endocarditis: A previously unreported cause of hyperamylasaemia. J Surg Case Rep. 2012;2012(10):15doi: 10.1093/jscr/2012.10.15.
Christou, C., Kipling, M., Wayman, J., & MALIK, M. S. (2012). Splenic infarction due to septic emboli from bacterial endocarditis: A previously unreported cause of hyperamylasaemia. Journal of surgical case reports, 2012(10), 15. https://doi.org/10.1093/jscr/2012.10.15
Christou, C, et al. "Splenic infarction due to septic emboli from bacterial endocarditis: A previously unreported cause of hyperamylasaemia." Journal of surgical case reports vol. 2012,10 (2012): 15. doi: https://doi.org/10.1093/jscr/2012.10.15
Christou C, Kipling M, Wayman J, MALIK MS. Splenic infarction due to septic emboli from bacterial endocarditis: A previously unreported cause of hyperamylasaemia. J Surg Case Rep. 2012 Oct 01;2012(10):15. doi: 10.1093/jscr/2012.10.15. PMID: 24960755; PMCID: PMC3649647.
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J Surg Case Rep. 2012 Oct 01;2012(10):15. doi: 10.1093/jscr/2012.10.15.

Splenic infarction due to septic emboli from bacterial endocarditis: A previously unreported cause of hyperamylasaemia.

Journal of surgical case reports

C Christou, M Kipling, J Wayman, MALIK

Affiliations

  1. Cumberland Infirmary, Carlisle, UK.

PMID: 24960755 PMCID: PMC3649647 DOI: 10.1093/jscr/2012.10.15

Abstract

We present what maybe the only case of splenic infarction causing hyperamylasaemia in a patient with bacterial endocarditis. A 49-year-old gentleman presented a 24 hour history of vomiting, abdominal pain and fever. Clinical examination showed diffuse upper abdominal tenderness, a mild tachycardia and a low grade pyrexia. Blood investigations showed a hyperamylasaemia. His failure to improve on treatment for a provisional diagnosis of alcohol induced pancreatitis lead to a CT abdomen, which showed a splenic infarct and an echo showing aortic valve vegetation's as a source of emboli. He underwent urgent aortic valve replacement with a tissue valve following which he made an uncomplicated recovery.

© JSCR.

References

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