Finding into death of Peter Fiorakis
Deceased
Peter Fiorakis
Demographics
72y, male
Date of death
2022-11-02
Finding date
2024-05-10
Cause of death
Complications of small bowel obstruction in a man with multiple medical co-morbidities
AI-generated summary
Peter Fiorakis, a 72-year-old man with intellectual disability, schizophrenia, recurrent DVT, cardiomegaly, COPD, ischaemic heart disease and hiatus hernia, presented to Austin Hospital with nausea, vomiting and decreased appetite. CT imaging revealed high-grade small bowel obstruction, large paraoesophageal hiatus hernia, and marked rectal faecal loading. Clinicians identified multiorgan failure including acute kidney injury and aspiration pneumonia. A nasogastric tube could not be inserted and surgical intervention was deemed unsuitable. After discussion with family, a palliative pathway was commenced. The death was natural and reportable only because he was in Specialist Disability Accommodation. No preventable factors or clinical errors were identified by the coroner.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Clinical conditions
Contributing factors
- high-grade small bowel obstruction
- paraoesophageal hiatus hernia
- rectal faecal loading
- multiorgan failure
- acute kidney injury
- aspiration pneumonia
- multiple chronic comorbidities
Full text
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