Abstract
Splenosis refers to the heterotopic autotransplantation of splenic tissue to various anatomical sites, most commonly following splenic trauma or splenectomy. We report a rare case of pelvic splenosis in a female patient, eight years after a car accident and splenectomy, who presented with lower abdominal pain and infertility without improvement. Laparoscopic exploration revealed ectopic splenic tissue, and the diagnosis was confirmed by biopsy. Pelvic splenosis should be considered in the differential diagnosis of unexplained pelvic or abdominal masses in patients with a history of splenic injury or surgery. Laparoscopic exploration and biopsy are very important tools for the diagnosis of abdominal splenosis.