Infective endocarditis and infected aneurysm of splenic artery post colonoscopy.
Colonoscopy, a relatively non-invasive procedure, has been associated with several complications including perforation, hemorrhage and abdominal pain. Post-colonoscopy bacteremia can occur up to 4.4% of the time but is almost always transient without significant clinical sequelae. Post-colonoscopy infective endocarditis, on the other hand, is a rare occurrence associated with high rates of mortality and morbidity, and may be further complicated by aneurysm of splenic artery. Current definitive treatment of infected aneurysm is surgical ligation and excision with or without vascular anastomosis. If surgery is contraindicated, endovascular graft and transcatheter embolization may be the preferred treatment options. This is a case report of infective endocarditis and infected aneurysm of splenic artery presenting two weeks after elective colonoscopy.
Department of Upper Gastrointestinal Surgery, Southern Helath (Yeng Kwang Tay, Niyaz Naqash, Paul Cashin).
Yeng
Y
Kwang Tay
Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne (Jia Yin Tay), Victoria, Australia.
Jia
J
Yin Tay
Department of Upper Gastrointestinal Surgery, Southern Helath (Yeng Kwang Tay, Niyaz Naqash, Paul Cashin).
Niyaz
N
Naqash
Department of Upper Gastrointestinal Surgery, Southern Helath (Yeng Kwang Tay, Niyaz Naqash, Paul Cashin).
Paul
P
Cashin
Sepsis post colonoscopy; infected aneurysm of splenic artery; infective endocarditis; mycotic splenic aneurysm