[Endoscopic transgastric retrograde cholangiopancreatography assisted by laparoscopy in a patient with gastric bypass]

Endoscopic procedures, currently, are characterized by being minimally invasive diagnostic and therapeutic methods, which allow the management of a wide number of pathologies and in the hands of a good operator, present few complications. Both traumatic and spontaneous splenic rupture is a rare entity, mainly associated with abdominal trauma or splenomegaly due to hematological diseases, respectively. Splenic rupture secondary to endoscopic studies is a complication with a mortality close to 5%, of which only 100 cases have been reported to date, none of them in Colombia. Thereafter is the case of a patient who, after an upper digestive endoscopy and colonoscopy, presented a splenic rupture, in whom the non-operative management initially proposed failed, requiring emergent splenectomy, with satisfactory results.