Located in the abdominal cavity between the diaphragm and the fundus of the stomach, the spleen is the largest secondary lymphoid organ in the body. It acts mainly as a blood filter that selectively removes immune complexes, circulating pathogens and senescent, dysfunctional, or infected red blood cells. 1 As a result, splenectomy is associated with an increased susceptibility to severe bacterial infections (Streptococcus pneumoniae, Haemophilus influenzae, and Neisseria meningitidis…) and a major risk of overwhelming sepsis. 2,3 Besides its immune function, the spleen is involved in other important physiological processes such as iron homeostasis. Senescent or ruptured red blood cells are trapped in the spleen and their hemoglobin content is metabolized into free iron, which supplies most of the iron needed for erythropoiesis. 4,5 The adult spleen is also a prominent site for extramedullary hematopoiesis. In conditions of infection, anemia and genetic blood disorders or during pregnancy, hematopoietic stem cells (HSC) mobilized from the bone marrow