Abstract:Splenosis is heterotopic autotransplantation of splenic tissue following trauma or splenectomy. A 54 years gentleman presented to outpatient department with history of pain while passing stools. Clinical examination and radiological investigations were inconclusive. Exploratory laparotomy revealed hypervascular bluish mass in rectovesical pouch. Histopathology of excised tissue was suggestive of splenic tissue. On retrospective analysis, patient gave history of splenectomy 35 years back. High index of suspicion for splenosis is needed in patients with history of splenic injury or trauma.