<prompt> True about Boerhoeve;s syndrome exceptMC at lower 13rdHematemesis is early symptomsAcute chest painSurgically treated  <response>: Occurs classically when a person vomits against a closed glottis.The pressure in the oesophagus increases rapidly and the oesophagus bursts at its weakest point in the lower third. Bailey and Love 26 th ed, pg 992 