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2 results on '"Baird, Dean E."'

1. Perforated Hemocholecyst: An Unintended Consequence of Endoscopic Variceal Ligation?

Author

Gasser MC, Sadowski BW, Baird DE, and Kwok RM

Abstract

Ectopic varices are a rare sequelae of portal hypertension and present in unique ways, which may not always prompt consideration. Furthermore, endoscopic interventions on venous collaterals in the setting of portal hypertension affect the portal system hemodynamics, which may further complicate the clinical picture. We report a man with decompensated hepatitis C cirrhosis who developed hemocholecyst complicated by perforation with hemoperitoneum soon after endoscopic variceal ligation of the esophageal varices in the setting of retrospectively discovered gallbladder varices., (Written work prepared by employees of the Federal Government as part of their official duties is, under the U.S. Copyright Act, a “work of the United States Government” for which copyright protection under Title 17 of the United States Code is not available. As such, copyright does not extend to the contributions of employees of the Federal Government.)

Published
2020
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2. Primary Pulmonary Thrombus in Combat Casualties: Is Treatment Necessary?

Author

Bradley MJ, Baird DE, Peterson PG, Baird MD, Elster EA, and Rodriguez CJ

Subjects
Adult, Afghan Campaign 2001-, Female, Humans, Male, Pulmonary Embolism diagnosis, Retrospective Studies, Thrombosis diagnosis, Tomography, X-Ray Computed, Wounds and Injuries diagnostic imaging, Young Adult, Anticoagulants therapeutic use, Pulmonary Embolism etiology, Pulmonary Embolism therapy, Thrombosis etiology, Thrombosis therapy, Wounds and Injuries complications
Abstract

The objective of this study was to describe the natural history of primary pulmonary thrombus (PPT) in combat casualties. This was a retrospective study of casualties treated at a major military treatment facility from 2010 to 2012. Patients with a downrange chest CT were included. CTs were reviewed by two independent, blinded radiologists to confirm PPT on initial imaging. Follow-up CTs, if obtained, were also independently reviewed to determine the extent of clot burden. Two hundred and forty-nine casualties with a downrange, acceptable quality chest CT were included. 9 per cent (23/249) of patients sustained PPT. Thirty nine per cent (9/23) were initially treated with therapeutic anticoagulation (AC). Conversely, 61 per cent (14/23) arrived to our military treatment facility without AC. Seven arriving without AC-developed pulmonary symptoms during their hospitalization and had interval chest CTs. Of those, three had no evidence of pulmonary thrombus. The other four had subsegmental filling defects and three were started AC whereas one had an IVC (Inferior Vena Cava) filter inserted. In total, 11/23 (48%) PPT patients were managed without AC and discharged without complications. This is the first study attempting to look at PPT natural history. There were no adverse sequelae from managing PPT without AC. Further studies are warranted to further characterize PPT.

Published
2018

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