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Highlights • Splenosis is an autotransplantation of splenic tissues throughout the body post splenic rupture or splenectomy. • Symptomatic when hematological diseases have recurred. • Abdominal splenosis may rarely be associated with abdominal pain and/or gastrointestinal symptoms. • Further evaluation and treatment is mandatory when bowel obstruction is present. • Treatment consists of resection of problematic splenic nodules., Introduction Splenosis, an autotransplantation of splenic tissues in another compartment of the body, is only symptomatic when hematologic diseases have recurred or compression of other adjacent structures have occurred. Therefore, we report a clinical case of a patient with bowel obstruction due to splenosis. Case presentation A patient with a history of splenectomy, presented to the emergency room for abdominal pain and obstipation, suggesting intestinal obstruction which is also seen on CT scan. During laparotomy, multiple splenic nodules were seen on the mesentery of the small bowel and colon, with vascular bridges between them, resulting in bowel obstruction. Resection of splenic nodules was performed. The post-operative course was uneventful and the patient was discharged a week after. Discussion Although very rare, gastrointestinal symptoms may sometimes be described in patients with splenosis. Bleeding or obstruction can occur because of intramural grow or external compression, respectively. Treatment consists of resection of these nodules. Conclusion Splenosis should always be thought in patients with previous splenic rupture and presenting with incidental nodules seen on imaging, with further investigations when symptoms are present.