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Cobb, Tyrell - Non-inquest findings

Deceased

Tyrell Cobb

Demographics

4y, male

Coroner

Bentley

Date of death

2009-05-24

Finding date

2021-01-22

Cause of death

Intra-abdominal injuries from blunt force trauma (ruptured duodenum and lacerated mesentery causing peritonitis and haemorrhage)

AI-generated summary

Tyrell Cobb, a 4-year-old boy, died from intra-abdominal injuries caused by blunt force trauma inflicted on two separate occasions between 22-24 May 2009. Postmortem revealed a ruptured duodenum and lacerated mesentery causing peritonitis and haemorrhage. Seventy bruises indicated non-accidental injury inflicted over several days. The fatal injuries were delivered by either Matthew Scown or Heidi Strbak (his mother's boyfriend and mother). Critically, both caregivers failed to seek medical attention despite Tyrell becoming severely ill on 23 May with vomiting and abdominal pain. Had medical care been sought promptly following the first injury, resuscitation during the final event, or recognition of the severity of his condition, this death may have been preventable. This case highlights the importance of recognising patterns of injury, responding appropriately to children presenting with concerning symptoms, and mandatory reporting obligations.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

paediatricsemergency medicineforensic medicine

Error types

delaysystem

Clinical conditions

blunt abdominal traumaduodenal rupturemesenteric lacerationperitonitisintra-abdominal haemorrhageshockchild abuseaspiration

Contributing factors

  • failure to obtain medical treatment despite severe illness
  • failure to seek emergency care after abdominal trauma
  • non-accidental injury inflicted by caregivers
  • delay in calling emergency services
  • inadequate response to child's deteriorating condition
  • failure to recognise pattern of inflicted injuries
Full text

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