General Medicine General 59f79d9f 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