Pneumoperitoneum is usually related to the perforation of an abdominal viscus and requires immediate surgery. However, rare cases of spontaneous pneumoperitoneum occur outside of this context. Etiologies are multiples, and the approach is conservative. We report a case of a patient who presented non-surgical pneumoperitoneum. He progressed well under non-operative treatment. We discuss the different etiologies of this pathological entity.
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