This video shows a laparascopic splenectomy in a 70-year-old man with extensive cardiac history including severe aortic stenosis status-post bioprosthetic aortic valve and a history of endocarditis with E. Faecalis bacteremia who presented with fevers, leukocytosis, and severe left upper quadrant pain for 1 day. Prior to this presentation, the patient was treated conservatively with IV antibiotics multiple times for endocarditis. Workup included a transesophageal echocardiogram (TEE) which demonstrated vegetations on his aortic valve. A CT abdomen/pelvis showed evidence of an enlarged spleen containing multiple splenic infarcts and a subcapsular fluid collection, with surrounding inflammatory phlegmon suggestive of abscess. At laparoscopy, omentum was adhered to the inferior pole of the spleen and upon release, a large abscess cavity was encountered. Approximately 100cc of purulent fluid was drained and sent for culture. The spleen was carefully mobilized, dissected, and removed in a retrieval bag through a midline incision. The final weight of the spleen was 570g. Abscess cultures ultimately grew Enterococcus faecalis. The patient tolerated the procedure well and was able to undergo a redo aortic valve repair 3 weeks following splenectomy.