Sudden-onset Severe Left Lower in Surgery — 50yo Woman | General Surgery | SMLE Q#16539

SMLE Question #16539

Surgery General Surgery

Objective: OBJ-TRACH-EMERG-01

Last updated: February 2026
A 50-year-old woman presents to the emergency department with sudden-onset severe left lower chest and epigastric pain immediately after several episodes of forceful vomiting. She appears uncomfortable and is holding her left chest. On examination, breath sounds are decreased over the left lower chest. What is the most likely concern?

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