This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Oesophagus, Subject name: Surgery
Which of the following is not true about Boerhaave syndrome? 
Select and explain. 
A. Perforation of the esophagus due to barotrauma, B. Most common site is left posteromedial aspect 3-5 cms above the gastroesophageal junction, C. Pain is the principal early manifestation, D. Most coses follow a bout of heavy eating or drinking
B: Most common site is left posteromedial aspect 3-5 cms above the gastroesophageal junction
Answer: B: Most common site is left posteromedial aspect 3-5 cms above the gastroesophageal junction 
Explanation: Ans. is 'b' i.e., Most common site is left posteromedial aspect 3-5 cms above the gastroesophageal junction * Boerhaave's syndrome is spontaneous perforation of the esophagus, occuring usually due tosevere barotrauma when a person vomits against a closed glottis. The pressure in the esophagus rapidly increases and the esophagus bursts at its weakest point, sending a stream of material into the mediastinum and often the pleural cavity as well.* Most common location of perforation is in the left posterolateral aspect 3-5 cm above the gastroesophageal junction. Second most common site of perforation is at the midthoracic esophagus on the right side.* Most cases follow a bout of heavy eating and drinking.* The principal early manifestation is pain felt in the chest and upper abdomen.