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Obstetrics and gynaecology
Splenic artery aneurysm and infarction during pregnancy from infective endocarditis
  1. Divya Bhukya1,
  2. Parvathi Naik1,
  3. Madhan Ramachandran2,
  4. Kalayarasan Raja3,
  5. Hemachandren Munuswamy4,
  6. Rajesh Nachiappa Ganesh5,
  7. Ajith Ananthakrishna Pillai6,
  8. Dilip Kumar Maurya1 and
  9. Anish Keepanasseril1
  1. 1Obstetrics and gynecology, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India
  2. 2Radio-diagnosis, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India
  3. 3Surgical Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India
  4. 4Cardiothoracic and vascular surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
  5. 5Pathology, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India
  6. 6Cardiology, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, India
  1. Correspondence to Dr Anish Keepanasseril; keepanasseril.a{at}jipmer.ac.in

Abstract

Rheumatic heart disease (RHD) remains the leading cardiac problem affecting pregnant women, especially in low- to middle-income countries. In nearly one-third of the cases, it is detected during pregnancy when they present with complications. Infective endocarditis (IE) in pregnancy is rare, with an incidence of 1 in 100 000 pregnancies, and carries high maternal and fetal morbidity and mortality. Embolisation of the infective vegetation can lead to inoculation of the arterial wall, causing aneurysm, infarction or abscess formation. Being an end artery, splenic artery aneurysm and infarct can complicate IE; it can even be lethal due to ruptured aneurysm with intraperitoneal bleed. We report a patient who presented with IE complicated with a splenic-artery aneurysm during pregnancy, successfully managed by a multidisciplinary team.

  • Obstetrics and gynaecology
  • Pregnancy
  • Cardiovascular medicine

https://doi.org/10.1136/bcr-2024-260923

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    Footnotes

    • Contributors The following authors were responsible for drafting the text, sourcing and editing clinical images, investigating results, drawing original diagrams and algorithms and critically revising important intellectual content. DB, AAP, HM, KR, AK, PN and DKM conceived the idea. DB, MR, AK and RNG collected the records and images. DB, MR, AK and DKM wrote the first draft. The following authors gave final approval of the manuscript. All authors contributed to revising and finalising the manuscript. AK (corresponding author) guarantees all aspects of the reliability and freedom from bias of the data presented and their discussed interpretation.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.