Abstract
Pneumoperitoneum is often a sign of a perforated viscus and is considered a surgical emergency, as it can lead to enteric contamination within the peritoneal cavity with subsequent peritonitis and sepsis. Management of asymptomatic pneumoperitoneum can pose a dilemma to physicians. Here, we present and discuss a rare case of a 60-year-old man who developed a pneumoperitoneum after a colonoscopy.