Coronial
VIChospital

Finding into death of Justin Christopher Piotrowski

Deceased

JUSTIN CHRISTOPHER PIOTROWSKI

Demographics

37y, male

Coroner

Coroner Audrey Jamieson

Date of death

2012-05-17

Finding date

2014-07-16

Cause of death

hypoxic brain injury secondary to cardiac arrest as a result of bowel volvulus

AI-generated summary

A 37-year-old man with intellectual disability, autism, and Hirschsprung's disease living in supported residential care died from hypoxic brain injury secondary to cardiac arrest caused by bowel volvulus. He had presented to hospital two weeks earlier with partial bowel obstruction and was discharged after clinical improvement. Upon redevelopment of acute abdominal distension at the residence on 14 May 2012, he suffered cardiac arrest before emergency services arrived. Rapid decompression of his grossly dilated abdomen via colonoscopy at hospital temporarily restored ventilation, but he had already suffered severe neurological injury from hypoxia. The coroner found no evidence linking his prescribed Caltrate supplementation to the volvulus. Care at the residence and hospital appeared appropriate; his death resulted from natural progression of his underlying bowel pathology.

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

Specialties

emergency medicinesurgeryintensive caregeneral practiceendocrinology

Drugs involved

calcium

Clinical conditions

bowel volvuluspseudo-obstructioncardiac arresthypoxic brain injuryHirschsprung's diseaseconstipationautismcongenital hydrocephalusintellectual disability

Procedures

colonoscopyabdominal decompression

Contributing factors

  • bowel volvulus with gross abdominal distension
  • impeded venous return to heart due to abdominal distension
  • difficulty with ventilation due to abdominal distension
  • Hirschsprung's disease with history of constipation and bowel obstruction
  • delay in seeking or receiving medical review after onset of acute abdominal symptoms
Full text

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