Coronial
TAShospital

Coroner's Finding: Boon Alison Kim

Deceased

Alison Kim Boon

Demographics

51y, female

Date of death

2018-07-08

Finding date

2021-02-03

Cause of death

peritoneal sepsis with multiple organ failure due to perforation of bowel by foreign object

AI-generated summary

A 51-year-old woman with intellectual disability and schizoaffective disorder died from peritoneal sepsis and multiple organ failure caused by bowel perforation from a wooden stick. The stick entered her body via her vaginal canal. She presented with abdominal pain on 15 May 2018 and underwent emergency laparotomy; initial surgery missed the bowel perforation due to pelvic adhesions. A second operation identified and resected the perforation, but sepsis developed despite intervention. The coroner could not determine whether insertion was voluntary, consensual, or non-consensual. Clinically, earlier identification of the perforation and more aggressive source control might have altered outcomes, though her vulnerable mental health status and inability to provide coherent history complicated initial assessment.

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

Specialties

general surgerycolorectal surgeryintensive caregeneral medicinepalliative care

Error types

diagnostic

Clinical conditions

peritoneal sepsismultiple organ failurebowel perforationpelvic adhesionsrectal cancer (history)colostomyintellectual disabilityschizoaffective disorderbipolar disorder

Procedures

abdominal laparotomybowel resectionnegative pressure dressingCT scanning

Contributing factors

  • perforation of small bowel by wooden stick
  • significant pelvic adhesions preventing initial identification of perforation
  • sepsis development post-operatively
  • inability of patient to provide coherent history of injury mechanism
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.