Coronial
VIChospital

Finding into death of Wendy Alice Ryder

Deceased

WENDY ALICE RYDER

Demographics

62y, female

Coroner

Coroner John Olle

Date of death

2007-06-27

Finding date

2010-04-08

Cause of death

pulmonary thromboembolism due to deep venous thrombosis of right calf

AI-generated summary

Ms Wendy Ryder, aged 62, died from pulmonary embolism secondary to deep venous thrombosis (DVT) six weeks after abdominal surgery (total abdominal hysterectomy and bilateral salpingo-oophorectomy) for treatment of severe multiple sclerosis-related leg symptoms. The treating neurologist did not consider DVT in the differential diagnosis, attributing leg signs to MS and oversedation. The coroner found appropriate care was provided and there was no reasonable basis to identify DVT before the catastrophic event. However, post-operative thromboprophylaxis considerations and DVT risk stratification in immobilised post-surgical patients should remain standard practice, even in those with comorbidities.

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

Specialties

neurologygeneral surgeryintensive care

Error types

diagnostic

Drugs involved

narcoticsbenzodiazepinesnaloxone

Clinical conditions

pulmonary embolismdeep venous thrombosismultiple sclerosispost-operative state

Procedures

total abdominal hysterectomysalpingo-oophorectomyintravenous line insertion

Contributing factors

  • multiple sclerosis
  • recent abdominal surgery (total abdominal hysterectomy and bilateral salpingo-oophorectomy)
  • post-operative immobility
  • failure to consider DVT in differential diagnosis
Full text

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