A rare case of splenic hematoma after percutaneous drainage of splenic abscess with infective endocarditis

Infective endocarditis with splenic abscesses remains a complex and unusual clinical scenario. We present a rare case of splenic hematoma caused by percutaneous drainage of splenic abscess with infective endocarditis. After antibiotic therapy, mitral valve replacement combined with splenectomy was performed simultaneously. When infective endocarditis is complicated with splenic abscess, splenectomy rather than percutaneous drainage of the splenic abscess is preferred to lower the risk of splenic haemorrhage and eradicate the source of infection. The order of surgery is controversial and should be considered according to the patient's general condition.