title: Splenic amyloidosis: a rare cause of spontaneous splenic rupture.
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.
authors.affiliation: Department of Diagnostic Imaging, Hospital Kuala Lumpur, Jalan Pahang, Kuala Lumpur 50586, Malaysia.        ruohshyuan@gmail.com.
authors.forename: R S
authors.initials: RS
authors.lastname: Chan
authors.forename: Y F
authors.initials: YF
authors.lastname: Abdul Aziz
authors.forename: P
authors.initials: P
authors.lastname: Chandran
authors.forename: E K
authors.initials: EK
authors.lastname: Ng
mesh_terms: D000686:Amyloidosis / Q000175:diagnosis* / Q000209:etiology; D003354:Corynebacterium Infections / Q000378:metabolism; D004696:Endocarditis / Q000175:diagnosis* / Q000382:microbiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects; D013154:Spleen / Q000473:pathology / Q000601:surgery; D013156:Splenectomy / Q000379:methods; D013161:Splenic Rupture / Q000175:diagnosis* / Q000209:etiology; D013163:Splenomegaly / Q000382:microbiology; D014057:Tomography, X-Ray Computed / Q000379:methods