Coronial
TAShospital

Coroner's Finding: de-identified IM

Demographics

37y, female

Date of death

2022-05-12

Finding date

2025-01-29

Cause of death

sepsis due to necrotising fasciitis following abdominoplasty with liposuction

AI-generated summary

A 37-year-old woman died from sepsis due to necrotising fasciitis following abdominoplasty and liposuction. She was discharged on post-operative day 4 with severe pain, nausea, and vomiting, which were attributed to normal post-operative symptoms. Her GP telephone consultation the same day found no signs of infection. She deteriorated rapidly at home and presented to hospital in septic shock on post-operative day 5, dying despite aggressive treatment. Necrotising fasciitis is a rare post-surgical complication that progresses rapidly and is difficult to diagnose early, as skin changes may not be apparent initially. The coroner found no issues with the surgical decision, procedure performance, or discharge decision. Early recognition of necrotising fasciitis is critical for survival, but this case represents an unusual, rapidly progressive complication that was inherently difficult to diagnose at the time of discharge.

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

Specialties

plastic and reconstructive surgerygeneral practiceemergency medicineintensive care

Drugs involved

oxycodoneparacetamolantiemeticsantibiotics

Clinical conditions

necrotising fasciitissepsisseptic shockacute renal failuresevere metabolic acidosispost-operative complication

Procedures

abdominoplastyliposuction

Contributing factors

  • necrotising fasciitis as a rare post-surgical complication
  • rapid progression of infection following discharge
  • difficulty in early diagnosis of necrotising fasciitis as skin appearance may appear unaffected initially
  • symptoms attributed to normal post-operative pain and nausea
Full text

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