If a patient had been vomiting and had severe epigastric pain and then (7ass mthl shi fa23 bi baton) suffered from acute abdominal pain along with severe dyspnea and desaturation (had drop in oxygen).What is the possible diagnosis?

? Boerhaave syndrome (it is esophageal perforation post vomiting,rupture of the esophagus causing mediastinitis). Note: aortic aneurysm can cause similar symptoms but in addition it causes hypotension, tachycardia, tachyarrhythmia, and pallor.