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Splenogonadal fusion (SGF) is a congenital abnormality characterized by fusion between the spleen and gonad. This rare condition is difficult to diagnose preoperatively, and there are fewer than 200 cases documented previously in the literature. This report describes a young male who presented with bilateral cryptorchidism and was diagnosed with SGF and accessory spleens using laparoscopy. SGF is a rare but possible finding to recognize in children with abnormal paratesticular masses, and laparoscopic techniques as demonstrated in this case will increase the ease of diagnosis and early treatment.

Splenogondal Fusion With Accessory Spleens Identified With Laparoscopy