Coronial
VIChospital

Finding into death of Sharon Lee McDonald

Deceased

Sharon Lee McDonald

Demographics

47y, female

Coroner

Coroner Peter White

Date of death

2011-10-09

Finding date

2012-12-05

Cause of death

Large intestinal infarction due to volvulus

AI-generated summary

Sharon Lee McDonald, a 47-year-old woman with Down syndrome, died from large intestinal infarction secondary to volvulus (twisting of bowel). She was admitted with presumed faecal loading causing bowel obstruction but developed sigmoid volvulus with haemorrhagic infarction. She had known megacolon requiring careful dietary management and regular laxatives. The coroner found no evidence of procedural injury from nasogastric intubation. The death resulted from a vascular catastrophe (complete bowel twist causing tissue death from lack of blood supply) in a patient with complex medical needs. Better recognition of volvulus risk in megacolon patients and potentially earlier imaging or surgical intervention might have prevented this outcome, though the acute nature of volvulus limits preventability.

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

Specialties

gastroenterologygeneral medicinegeneral surgery

Error types

diagnostic

Drugs involved

lactulose

Clinical conditions

Down syndromemegacolonvolvulusintestinal infarctionbowel obstructionfaecal loadingarterial septal defectpulmonary hypertensionaspiration pneumonia

Procedures

nasogastric tube insertion

Contributing factors

  • Down syndrome
  • megacolon
  • bowel obstruction
  • sigmoid volvulus
  • haemorrhagic infarction
Full text

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