Food-Induced Severe Chest Pain and Hematemesis

Question: An 88-year-old woman ate dry, crispy Yorkshire pudding causing slight epigastric pain. Thirty minutes later she developed sudden-onset, severe, central chest pain radiating to the back and epigastrium, associated with shortness of breathe and bouts of hematemesis. She had a background of mild gastritis and reflux esophagitis for which she was taking omeprazole.