Abstract
A 49-year-old male with Type II diabetes mellitus presented with fever for 3 months and on evaluation was found to have infective endocarditis involving the aortic valve. Blood culture grew Streptococcus viridans. He was treated with intravenous antibiotics and improved clinically. He developed severe abdominal pain with vomiting and minimal clinical signs on the tenth day of hospitalization. CT abdomen showed a 3.3 cm × 1.6 cm lobulated aneurysm of the distal superior mesenteric artery (SMA) along with early ischemic changes of the small bowel (Figs. 1 and 2).
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