Deceased
Robin William Brand
Demographics
62y, male
Date of death
2024-09-11
Finding date
2024-12-09
Cause of death
Mediastinitis due to perforated oesophagus, with severe emphysema as a contributing factor
AI-generated summary
A 62-year-old man with severe emphysema and chronic oesophageal stricture died from mediastinitis secondary to perforated oesophagus. He had undergone 46 oesophageal dilations since December 2022, with frequent mucosal tearing documented. Following a dilation procedure on 29 August 2024, he was discharged without signs of perforation. He presented 4 days later with vomiting and chest pain; gastroscopy revealed deep longitudinal tears. The coroner found no fault with the discharge decision, noting the experienced operator and absence of perforation signs post-procedure. The perforation likely resulted from vomiting at home rather than iatrogenic injury. Poor compliance with proton pump inhibitor therapy contributed to his deterioration. No preventability issues were identified.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Clinical conditions
Procedures
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Mrs Vicki Dow, 69, died from multiple organ failure secondary to iron overload (transfusion-associated haemochromatosis) from treatment of myelodysplastic syndrome. She had declined iron chelation therapy for 19 months d…
65y · Male·Bleeding duodenal ulcer
A 65-year-old man with type 2 diabetes presented to hospital with haematemesis, hypoglycaemia, and postural hypotension caused by a bleeding duodenal ulcer. He was misdiagnosed with atypical pneumonia causing confusion. …
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