—Intraabdominal extraluminal air caused by perforated hollow viscus may appear in 10% to 15% of patients with blunt abdominal trauma mandating an emergency laparotomy.¹ In many cases hollow viscus perforations are diagnosed secondarily by the signs of incipient peritonitis or increasing abdominal tenderness.² The high morbidity and mortality of these injuries after blunt abdominal trauma justify an aggressive approach to diagnosis and surgical treatment.^3,4 However, there are reported few patients with blunt abdominal trauma and free intraabdominal air in the absence of a bowel perforation.