85A middle aged man complains A upper abdominal pain after a heavy meal There is tenderness in the upper abdomen and on X ray widening of the mediastinum is seen with pneumo mediastinum what is the diagnosis?: (A) spontaneous perforation of the esophagus, (B) Perforated peptic ulcer, (C) Foriegn body in esophagus, (D) Rupture of emphysematous bulla
Answer is A. Spontaneous peroforation of esophagus Boerhaave&;s syndrome patient can present with retching subcutaneous emphysema can pain On X rays pneuma mediastinum can be seen ref : bailey and love 27th ed.