<prompt> Boerhaves syndorme, true is :latrogenicSilent manifestationPresent with acute chest painAll  <response>: Ans. is c i.e. Present with acute chest pain Boerhaaves syndrome Boerhaaves syndrome is spontaneous perforation of the esophagus, occuring usually due to severe barotrauma when a person vomits against a closed glottis. The pressure in the esophagus rapidly increases and the esophagus bursts at its weakest point, sending a stream of material into the mediastinum and often the pleural cavity as well. Most common location of perforation is in the left posterolateral aspect 3-5 cm above the gastroesophageal junction. Second most common site of perforation is at the midthoracic esophagus on the right side. Most cases follow a bout of heavy eating and drinking. 