question: A patient after a heavy meal comes with epigastric pain. On examination tenderness and rigidity in the upper abdomen. X-ray showing pneumomediastinum. What can be the cause-
opa: Spontaneous esophageal rupture
opb: Penetrating foreign body injury to esophagus
opc: Perforated peptic ulcer
opd: Rupture of emphysematous bulla