Fig. 1.

(A) A 41-year-old lady presented with symptomatic hypersplenism and symptomatic splenomegaly. The contrast-enhanced computed tomography (CECT) image shows features of non-cirrhotic portal fibrosis. An asterisk marks the dilated main portal vein (PV), pruning of peripheral PV branches (arrows), and absence of radiological signs of liver cirrhosis. Also noted are extensive splenomegaly and multiple portosystemic collaterals in the perisplenic and perigastric regions (arrowhead). (B) CECT image showing massive splenomegaly with a splenunculus (arrow). A thorough review of preoperative CECT imaging is pivotal for identifying any splenunculus (accessory spleen).