Sacrococcygeal teratoma: An unusual case of recurrences By Trudy L. Seivwright, MD; Franklyn Geary, MD; Roland Matthews, MD; and Rosalind Gregory-Bass, MD, Morehouse School of Medicine, Atlanta, GA Although most sacrococcygeal teratomas recur in childhood, this case demonstrates that recurrences are possible in adults.
Treating erectile dysfunction in nonresponders to PDE5 inhibitors By Neil H. Baum, MD, Tulane Medical School, New Orleans, LA; and Ann Ezzell, BA, University of Tennessee College of Medicine, Memphis, TN Most patients are successfully treated using PDE5 inhibitors, but if treatment failure occurs, physicians have many therapeutic options at their disposal; these options are outlined by the authors.
Idiopathic pneumoperitoneum after blunt chest trauma By Ilya Sabsovich, MD, Elmhurst Hospital Center, Elmhurst, NY, Mount Sinai School of Medicine, New York, NY; Ravi Desai, MD, The Mount Sinai Hospital, Mount Sinai School of Medicine, New York, NY; Rafael Alba, MD, Universidad Iberoamericana School of Medicine, Santo Domingo, Dominican Republic; Jose Yunen, MD, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY; and David Sammett, MD, Elmhurst Hospital Center, Elmhurst, NY The authors discuss the etiology of pneumoperitoneum and provide insights on how it may occur in the absence of a ruptured viscus.
When to suspect a false-positive cardiac troponin By Andrew Foy, BS, Jefferson Medical College, Philadelphia, PA; and Howard Weitz, MD, Thomas Jefferson University Hospital, Philadelphia, PA Abnormal cardiac troponin levels are occasionally found in patients who have not had a myocardial infarction. The authors discuss the factors that may contribute to a false elevation and outline how to determine whether analytical interference has occurred.