Spontaneous rupture of the esophagus.
Boerhaave's syndrome. The photograph shows a rupture of the lower
third of the esophagus. An instrument holds the lacerated esophagus
open and a nasogastric tube protrudes out of the lumen. Spontaneous
rupture of the esophagus is uncommon. It is associated with a high
mortality - which is usually a reflection on delay in making the
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