Pnemomediastinum pnemopericardium

Pnemomediastinum pnemopericardium

Subcutaneous emphysema probable etiology- esophageal rupture any history of post operative or any intervention?

Catamennial pneumothorax, pneumo mediastinum and even? Pneumorachhis… Or is it boerhave’s??

No operative history

Any previous surgical history??

Barotaruma/ vilolent couging/vomiting