A 38-year-old woman presented with abdominal pain and left shoulder pain. A computed tomography scan was obtained, which demonstrated a rounded soft tissue density with surrounding stranding. It was interpreted as an infarcted splenule. Due to the increasing severity of the patient's symptoms, a laparoscopic exploration was performed. Pathology demonstrated an infarcted splenule. As infarcted splenules are rare, an understanding of its pathogenesis and familiarity with the corresponding imaging findings may be helpful for its diagnosis in the patient with the appropriate clinical scenario. It is important to recognize this entity as a cause of abdominal pain that can be managed nonsurgically.
