A 48-year-old patient was admitted with complaint about pain beyond sternum and between scapulas. Pain started during vomiting. The patient is in shock, body temperature 39.5°C, leucocytosis - 20 000. In X-ray left hydropneumothorax, mediastinal emphysema. Your working diagnosis:
A. Acute pneumonia with parapneumonic pleural empyema
B. Esophageal rupture
C. Gastric ulcer perforation
D. Myocardial infarction
E. Acute cholecystitis with subdiaphragmatic abscess
Answer: B. Esophageal rupture