Pneumoperitoneum Due to Sexual Intercourse Status Post-Salpingo-Oophorectomy Secondary to Sex, Cunnilingus, and Air-Insufflating Vibrator

Pneumoperitoneum and its related abdominal pain are usually a surgical emergency that dictates ruling out a perforated viscus. There are multiple causes of pneumoperitoneum, which are nonsurgical; we report a case of a patient after salpingo-oophorectomy for ectopic pregnancy presenting in the postoperative period after a week with excess pneumoperitoneum due to sexual intercourse, cunnilingus, and use of air insufflating vibrator.