Finding into death of Baby L
Deceased
Baby L
Demographics
0y, female
Date of death
2017-11-18
Finding date
2019-06-17
Cause of death
OEIS Complex (Omphalocoele, Exstrophy of Cloaca, Imperforate Anus, Spinal Defects) and prematurity
AI-generated summary
Baby L died aged 7 days from OEIS Complex (a severe congenital condition involving omphalocoele, exstrophy of cloaca, imperforate anus, and spinal defects) combined with prematurity at 32 weeks gestation. The defect was incompatible with life—the large abdominal wall defect caused lethal fluid losses, renal failure, intestinal failure, and sepsis risk. Surgical repair was deemed impossible due to defect size, and even if feasible would not achieve continence. The medical team appropriately made a palliative care decision on day 7. The coroner found no preventable issues; the anomalies were random in nature and unrelated to maternal risk factors. This case illustrates appropriate end-of-life decision-making in a lethal congenital condition where aggressive intervention was futile.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Clinical conditions
Procedures
Contributing factors
- lethal congenital anomaly incompatible with life
- massive abdominal wall defect preventing surgical closure
- prematurity at 32 weeks gestation
Full text
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