unusual cause of left-sided severe chest pain

ABSTRACT

A 50-year-old lady presented to the emergency room with severe left-sided chest pain following an episode of forceful vomiting. A history of giddiness was present. Her past medical and surgical history were insignificant. On examination, she was having a respiratory rate of 24/ min and her blood pressure was 100/60 mmHg. She was diaphoretic and surgical emphysema was present. On plain radiography, hydropneumothorax was present. Gastrograffin study of the patient was performed