All are true about Boerhaave’s syndrome except
Correct Answer: Veical split in the gastric mucosa
Description: In Boerhaave's syndrome, vomiting occurs against a closed glottis and pressure builds up in the oesophagus. The pressure in the oesophagus increases rapidly, and the oesophagus bursts at its weakest point in the lower third, sending a stream of material into the mediastinum and often the pleural cavity as well. In Mallory-eiss syndrome, forceful vomiting may produce a mucosal tear at the cardia rather than a full perforation. A veical split in the gastric mucosa, immediately below the squamocolumnar junction at the cardia is seen in 90% of cases. In only 10% is the tear in the oesophagusRef: Bailey and love 27e pg: 1072
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