Esophageal perforations masked by steroids

Linas M. Klygis*, Rome Jutabha, Michael B. McCrohan, Arvydas D. Vanagunas

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Esophageal perforation is usually an acute, life-threatening event, and its diagnosis can be established on the basis of obvious clinical and radiographic findings. This article describes two cases whereby symptoms of esophageal perforations were masked by concomitant administration of steroids, thus causing marked delay in diagnosis and treatment. Esophageal rupture should be considered when patients receiving steroids develop unexplained fever with pleural effusion or pneumomediastinum, particularly following instrumentation or forceful retching.

Original languageEnglish (US)
Pages (from-to)10-12
Number of pages3
JournalAbdominal Imaging
Issue number1
StatePublished - Mar 1 1993


  • Esophagopleural fistula, diagnosis
  • Esophagus, perforation
  • Steroids, side-effects

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging
  • Gastroenterology
  • Urology

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