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HERMAN LAPIN, M.D.; HERBERT L. FRED, M.D.

Arch Intern Med. 1962;110(3):328-330.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In the differential diagnosis of free air beneath the diaphragm, most physicians consider perforation of a viscus, rupture of an intestinal gas cyst, or instillation of air into the abdominal cavity by means of previous operative, traumatic, diagnostic, or therapeutic procedures.¹ The purpose of this report is to present a case of postpartum pneumoperitoneum (PPP) and to discusse the pathogenesis and management of this disorder.

Report of a Case

A 31-year-old Negro housewife, gravida 2, para 2, was admitted to the Jefferson Davis Hospital on Jan. 2, 1962, because of pneumoperitoneum of uncertain etiology. Six weeks before admission the patient was delivered of a 7 lb. (about 3,175 gm.) girl. Four weeks before admission, she undertook knee-chest exercises which she performed each morning and evening. One week before admission, physical examination was normal except for a first degree cystourethrocele. Six days before admission, and approximately one hour after doing . . . [Full Text PDF of this Article]

Author Affiliations
HOUSTON, TEXAS

Senior Resident in Medicine, Jefferson Davis Hospital (Dr. Lapin).; Instructor in Medicine, Baylor University College of Medicine (Dr. Fred).; From the Department of Internal Medicine, Jefferson Davis Hospital, and Baylor University College of Medicine.

Footnotes
Submitted for publication March 29, 1962, accepted for publication April 19, 1962.

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