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?
spontaneous perforation of the esophagus
Perforated peptic ulcer
Foriegn body in esophagus
Rupture of emphysematous bulla
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.
All India exam