A 59-year-old man develops severe Chest Pain and neck crepitus after vomiting. Explore this life-threatening emergency caused by a common GI event.
A previously healthy 59-year-old man presented to the emergency department with a 5-hour history of severe, pleuritic chest pain. Half an hour before the onset of symptoms, he vomited a large amount of gastric contents after eating street food. On physical examination, his breathing was found to be rapid and shallow. Palpable crepitus was noted in the neck, and breath sounds at the base of the right lung were diminished. Computed tomography of the chest is shown here. What is the most likely diagnosis?
