Abstract
A 49-year-old patient consulted for abdominal pain and fever, 2 years after treatment of infective endocarditis on a dual-chamber pacemaker (PM) with favourable outcome at this time after treatment by partial surgical removal of the PM and antibiotic therapy. The lead tips were left in the right ventricle (RV) and in the left subclavian vein (thoracic radiography, Panel A, arrows). Abdominal computed tomography (CT) evidenced a thick-walled anterior abdominal fluid collection adjacent to the left liver lobe (Panel B, arrow) communicating with the infero-apical part of the RV on sagittal (Panel C, arrow) and oblique (Panel D, arrow) reconstructions. The residual fragment of the ventricular probe was no more detected within the RV. The collection contained a high-density metallic structure (Panels B and C, arrowhead), suggesting a migration of the RV probe’s fragment through the cardiac wall, the pericardium, and...
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