Coronial
VIChospital

Finding into death of Mr C

Deceased

Mr C

Demographics

55y, male

Coroner

Coroner Sarah Gebert

Date of death

2021-04-03

Cause of death

Ascending cholangitis due to choledocholithiasis

AI-generated summary

A 55-year-old man with Down syndrome died from ascending cholangitis due to choledocholithiasis following recurrent biliary sepsis. He had multiple comorbidities including Alzheimer's disease, depression, and cardiac dysfunction, and was a specialist disability accommodation resident. He was admitted to ICU three times over several months with septic shock secondary to biliary tract infection, treated with antibiotics, vasopressors, and biliary stenting. On final admission, he deteriorated into severe septic shock and was transitioned to comfort care. The coroner found death was due to natural causes and critical illness. The case highlights the importance of early recognition and aggressive management of recurrent biliary sepsis in vulnerable patients with communication difficulties, and the need for coordinated care planning between disability services and acute hospital settings.

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

Specialties

intensive caregeneral medicinegastroenterologypalliative care

Drugs involved

antibioticsvasopressors

Clinical conditions

ascending cholangitischoledocholithiasisseptic shockpneumoniaDown syndromeAlzheimer's diseasecardiac dysfunctionhypothyroidismdepression

Procedures

biliary tract stentingICU admission

Contributing factors

  • Recurrent biliary sepsis
  • Multiple comorbidities including Alzheimer's disease, cardiac dysfunction
  • Cognitive impairment and communication difficulties
  • Choledocholithiasis with biliary obstruction
  • Resistance to medical intervention and hospital attendance
Full text

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