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General Medicine General b2ede6a0

A middle aged man complains of 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
Foreign body in esophagus
D
Rupture of emphysematous bulla

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