This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: G.I.T, Subject name: Surgery
Boerhaave&;s syndrome is due to 
Select and explain. 
A. Drug induced esophagus perforation, B. Corrosive injury, C. Spontaneous perforation, D. Gastro-esophageal reflux disease
C: Spontaneous perforation
Answer: C: Spontaneous perforation 
Explanation: BOERHAAVE&;S syndrome is a tear in the lower third of oesophagus which occurs when a person vomits against a closed glottis, causing leaks into the mediastinum, pleural cavity, and peritoneum.site of perforation is about 2-10 cm of posterolateral pa of the lower oesophagus.investigations include chest Xray, MRI/CT, and total count.treatment includes feeding by jejunostomy, surgery with resection. Ref: SRB&;s manual of surgery,5th ed, pg no 802