PubMed Health⌕ Search

Biomedical subjects

D Ferrar

Publications and source records attributed to D Ferrar.

4 recordsLinked to original sources
PubMed1998

Spontaneous arterial thrombosis in association with pancreatic carcinoma: diagnosis and interventional management.

A 58-year-old woman presented with bilateral upper limb ischaemia. Digital subtraction angiography demonstrated upper limb arterial thrombosis, extensive on the left. This was initially treated with catheter-directed thrombolysis which cleared the thrombus on the right, although the left upper limb required supplementary surgical embolectomy. Subsequently, biopsy-proven pancreatic adenocarcinoma was detected. The upper limb arterial thrombosis appeared to be spontaneous in association with the malignancy because there was no obvious embolic source.

Adenocarcinoma↗
PubMed1996

Putting a finger on the deep inguinal ring.

The clinical distinction between direct and indirect inguinal hernias is often made by determining whether digital pressure over the deep inguinal ring is able to control the hernia. In 25 consecutive patients having inguinal hernia operations, the positions of the mid-inguinal point and the mid-point of the inguinal ligament were determined pre-operatively and compared with the position of the deep inguinal ring measured at operation. Neither the mid-inguinal point nor the mid-point of the inguinal ligament correctly predicted the position of the deep inguinal ring (the mean position of the deep inguinal ring was found to be 0.52 cm lateral to the mid-inguinal point and 0.46 cm medial to the mid-point of the inguinal ligament). If the position of the deep inguinal ring cannot be accurately determined using fixed landmarks, it is unlikely that direct and indirect inguinal hernias can be distinguished by clinical examination.

Female↗
PubMed1996

Twelve years experience of vena cava filtration.

Fourteen patients have required vena caval interruption in a period of 12 years at St Thomas' Hospital. Half of these patients had an underlying malignancy. None of these patients have had clinical or lung scan evidence of recurrent emboli. There were no deaths related to filter insertion and no patient died of a pulmonary embolism. Vena caval interruption is a procedure that is rarely necessary but may be valuable in carefully selected patients.

Adolescent↗