Coronial
SAhospital

Coroner's Finding: VAN GELDER Herman

Deceased

Herman Van Gelder

Demographics

40y, male

Date of death

2008-09-05

Finding date

2011-12-07

Cause of death

large bowel obstruction complicating disseminated carcinoma of rectum

AI-generated summary

A 40-year-old male died in prison custody from large bowel obstruction complicating disseminated rectal carcinoma. He had been diagnosed with adenocarcinoma in 2004, treated with radiotherapy and chemotherapy, with progressive metastatic disease. In March 2008 he presented with necrotising fasciitis requiring emergency surgery and ICU care. Subsequently he developed malignant bowel obstruction managed with caecostomy tube insertion in July 2008. He was transitioned to palliative care in May 2008. His medical management was deemed appropriate by the coroner. The death was natural and not preventable, with no evidence that custody affected his illness progression. No clinical errors or systemic failures were identified.

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

Specialties

oncologysurgeryintensive carepalliative caregastroenterology

Clinical conditions

adenocarcinoma of rectumdisseminated malignancylung metastasesliver metastasespelvic metastaseslarge bowel obstructionnecrotising fasciitis

Procedures

colonoscopybowel resectionemergency laparotomydebridementorchidectomyskin graftingcaecostomy tube insertion

Contributing factors

  • metastatic cancer
  • bowel obstruction
  • progressive malignancy
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