Cul-de-sac splenosis - An unusual location

We present a unique case of splenosis in a 36-year-old female in the posterior cul-de-sac of the lower pelvis, and to our knowledge, has never previously been reported. Her splenosis persisted for years, mis-diagnosed as a gynecologic condition. The differential diagnosis, clinical, radiological and histologic findings are discussed along with review of the literature.