After splenectomy, two types of splenic tissue can remain in the human body: one type is the congenital accessory spleen, with its own vasculature and capsule. The other type is the acquired splenosis, caused by the spread of splenic tissue following splenic injury. The aim of this paper is to briefly review the literature dealing with spontaneous bleeding of splenic tissue, apart from the primary spleen, and to report a case showing the clinical and surgical importance of remaining splenic tissue after splenectomy.

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We report a first-time minimally invasive treatment of mesh erosion into the colon. A laparoscopic approach is feasible and provides an excellent exposure. Partial removal of the mesh is suggested in uncomplicated cases to avoid complications associated with complete mesh removal.

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