“…Thus abdominal causes include pneumatosis cystoides intestinalis, in which gas-filled cysts in the walls of the gastrointestinal tract burst into the peritoneum without leakage of intestinal contents. 2 The natural communication between the female genital tract and the peritoneal cavity has resulted in pneumoperitoneum secondary to orogenital insufflation,l knee-chest exercises,3 and pelvic examination in the postpartum period. Iatrogenic causes include laparotomy, endoscopic procedures, and tubal insufflation to determine patency of the Fallopian tubes.…”