Coronial
SAhospital

Coroner's Finding: BLYTHE Dorothy Josephine

Deceased

Dorothy Josephine Blythe

Demographics

81y, female

Date of death

2009-05-10

Finding date

2011-09-23

Cause of death

ischaemic bowel

AI-generated summary

An 81-year-old woman with longstanding depression and multiple comorbidities fell and fractured her humerus in March 2009. During rehabilitation, she became increasingly depressed and self-neglectful, refusing food and cooperation with therapy. She was admitted to psychiatric care under Mental Health Act detention. On 9 May 2009, her physical health acutely declined with shock-like symptoms. Emergency laparotomy revealed extensive bowel ischaemia deemed incompatible with life. She died the following morning. The coroner found her treatment during detention was appropriate and made no recommendations. This case highlights the challenge of recognising acute surgical emergencies in elderly patients with concurrent psychiatric illness and the importance of maintaining vigilance for physical deterioration during mental health admissions.

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

Specialties

psychiatrygeneral surgeryorthopaedic surgeryemergency medicine

Error types

diagnosticdelay

Clinical conditions

ischaemic bowelmajor depression with psychotic featuresself-neglectshockhypertensionpeptic ulcer diseasegastroesophageal refluxchronic obstructive pulmonary disease

Procedures

exploratory laparotomy

Contributing factors

  • acute bowel ischaemia not recognised until late presentation
  • delayed transfer from psychiatric facility to acute hospital
  • comorbid severe depression and self-neglect masking physical deterioration
Full text

Source and disclaimer

This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.

Content may be incomplete, reformatted, or summarised. Some material may have been redacted or restricted by court order or privacy requirements. Always refer to the original court publication for the authoritative record.

Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries and tagging are for educational purposes only, may contain inaccuracies, and must not be treated as legal documents. We welcome feedback for correction — report an inaccuracy here.