Delayed spleen rupture after post endocarditis mitral minimally invasive surgery. an unexpected finding

We present a case of a delayed spontaneous spleen rupture after a poststaphylococcal endocarditis treated with Port-access and Video assisted mitral valve replacement and complicated with an undiagnosed splenic abscess. This case suggests that patients with infective endocarditis should be routinely evaluated for splenic lesions with routine abdominal CT scanning to rule out the presence of splenic abscess or to characterize the size, the location and the evolution of splenic infarcts. Life-threatening sudden complications can be related to undiagnosed splenic abscess after post endocarditis valve surgery.