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Surgery
A patient is admitted to the hospital after ingesting lye. The following day he complains of chest pain. His pulse is 120 bpm. On physical examination he is found to have subcutaneous crepitus on palpation. His chest x-ray shows widening of the mediastinum and a pleural effusion. What has occurred?
Aortic rupture
Coagulation necrosis
Esophageal perforation
Oropharyngeal inflammation
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