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Surgery G.I.T b53c338c

In which one of the following conditions is gas under diaphragm not seen

A
Perforated duodenal ulcer
B
Typhoid perforation
C
After laparotomy
D
Spontaneous rupture of oesophagus
High-Yield Explanation
After spontaneous rupture, the pressure in the oesophagus rapidly increases and burst at its weakest point in lower one-third, sending a stream of material into the mediastinum and often into the pleural cavity. Thus pneumomediastinum is formed Reference: Bailey and Love edition: 24 page no: 996

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