Accessory spleens also called as splenunculi are relatively common, but the presence of multiple splenunculi within the pelvis is rare and can be a significant diagnostic challenge. Such lesions may mimic pathological lymphadenopathy or gynaecological masses particularly on cross sectional imaging or ultrasound. We report a rare case of multiple pelvic splenunculi in a 63-year-old male, incidentally, detected during MRI of prostrate. The MRI demonstrated several oval-shaped masses in the pelvis and in the right common femoral region, initially reported as suspicious pathological lymph nodes, prompting further evaluation with contrast enhanced CT of the abdomen and pelvis. CT revealed four homogenous enhancing pelvic masses and one in the right common femoral region suspicious for metastatic lymphadenopathy and leading to a recommendation for USG guided biopsy. However, multidisciplinary (MDT) discussion highlighted a history of prior splenectomy. Imaging review demonstrated re-development of splenic tissue at normal splenic site and the pelvic and right femoral masses showed enhancement characteristics identical to spleen. These findings were consistent with multiple splenunculi rather than metastatic disease. No further investigations or invasive procedures were required. This case showcases a very rare case of multiple splenuncles in the pelvis. It also highlights importance of thorough clinical history and careful imaging correlation to avoid misdiagnosis and unnecessary interventions in patients with prior splenectomy.

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