Coronial
VIChospital

Finding into death of Douglas George Coyle

Deceased

Douglas George Coyle

Demographics

62y, male

Date of death

2023-06-17

Finding date

2025-02-21

Cause of death

Complications of likely sepsis in the setting of a pseudo bowel obstruction in a man with Hirschsprung's disease, intellectual disability and epilepsy

AI-generated summary

Douglas Coyle, a 62-year-old man with Hirschsprung's disease, intellectual disability, and epilepsy, died from sepsis complicating pseudo bowel obstruction. He presented to hospital on 15 June with shortness of breath, reduced oral intake, and black-stained saliva, having been unwell for several days. Imaging showed a grossly dilated colon. Despite fluid resuscitation, antibiotics, and electrolyte management, his condition deteriorated and he died two days later. The clinical decision for ward-based management only was appropriate given his poor functional baseline and longstanding Hirschsprung's disease. Earlier recognition of gastrointestinal symptoms and more urgent medical assessment before 16 June might have allowed earlier intervention, though given his underlying pathology and trajectory, this may not have altered the outcome.

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

Contributing factors

  • Hirschsprung's disease with pseudo bowel obstruction
  • Delay in initial medical assessment (appointment scheduled for 16 June when symptoms presented 14 June)
  • Reduced ability to communicate symptoms due to intellectual disability and non-verbal status
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