A case of asymptomatic pneumoperitoneum after fibergastroscopic sclero
sis of bleeding gastric erosions is presented. Air bubbles in gastric
curvatures without evidence of macroscopic perforation were found at l
aparotomy. We comment the etiologies of pneumoperitoneum without macro
scopic perforation and suggest that the management of patients with as
ymptomatic pneumoperitoneum with normal clinical examination and blood
analysis might be conservative to avoid needless laparotomies.