Multiple Intra-Abdominal Accessory Spleens

no hepatosplenomegaly was found. All laboratory investigations were normal except for an asymptomatic thrombocytosis (592 ! 10 9 /l, normal range 150–450). Ultrasound scan demonstrated cholelithiasis with multiple perisplenic masses. The latter were further investigated with contrast-enhanced computed tomography, and radiological findings were suggestive of multiple inAccessory spleens are congenital ectopic splenic tissue. Their most frequent location is perisplenic, posteromedial to the spleen. Usually, these features are clinically asymptomatic and discovered incidentally. A 56year-old male was admitted for acute abdominal pain. His past medical history was unremarkable and no splenic injuries were reported. At physical examination, Published online: May 20, 2009