Resident Publications – October 2017

Dr. Oleksandr Butskiy – BC Medical Journal

Dr. Butskiy and his colleagues presented a case report in the BC Medical Journal on forehead swelling in a 10-year-old male. In their discussion they note that the classic presentation of Pott’s puffy tumor did not respond to treatment of antibiotic therapy and progressed to osteomyelitis of the frontal bone associated with a subperiosteal abscess. The patient improved after surgical drainage, and it is thought the initial lack of response could have signaled a need for adjunct treatment of bacterial rhinosinusitis.

Dr. Vanessa Han – Journal of Obstetrics and Gynecology Canada

Dr. Han with Dr. Stephen Kaye had a case study published detailing A Rare Case of Gestational Choriocacinoma Presenting as Cornual Ectopic Pregnancy. The case involved a 38-year old woman whose ultrasound reviewed a cornual ectopic pregnancy. following a total abdominal hysterectomy she returned three weeks later with bleeding and a solid ulcerating lesion was found arising from the vaginal wall and the biopsy revealed metastatic gestational choriocarcinoma. They concluded in their case study that careful histopathological examination of the surgical specimen and diligent monitoring of β-human chorionic gonadotropin to zero is crucial to prevent potentially missing this very malignant, but highly curable disease. Early systemic metastases are common and presentation can include bleeding from vaginal metastases.

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author: Michelle Seymour