<prompt> Following are true about Boerhaave syndrome, except:Spontaneous perforation of the esophagus occurs due to violent contraction against a closed glottis.Has lower mortality rate compared to a Mallory-Weiss tearLayers of the esophageal musculature are ruptured completelyFollows a bout of heavy drinking  <response>: Ans. b Has lower mortality rate compared to Mallory - Weiss tearRef: Bailey and Love 26th edition, Page 992 Boerhaave syndrome is a through and through perforation Has high Mortality rate compared to Mallory - Weiss tear It usually happens under alcohol influence with vomiting against closed glottis. 