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 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.
spontaneous perforation of the esophagus
Perforated peptic ulcer
Foriegn body in esophagus
Rupture of emphysematous bulla
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