Oesophageal tears or rupture, such as Mallory-Weiss or
Boerhaave syndrome, are normally associated with prolonged
vomiting episodes that may come to light during
history taking. Other symptoms associated with a tear or
rupture are described by Karnath et al (2004) as neck
swelling and subcutaneous emphysema, as well as pain
radiating from the neck to the epigastric region that is
exacerbated by swallowing.