Coronial
VIChospital

Finding into death of Julie Anne White

Deceased

Julie Anne White

Demographics

59y, female

Coroner

Coroner Paul Lawrie

Date of death

2024-08-09

Finding date

2026-02-24

Cause of death

Complications of a pseudo-obstruction on a background of previous anterior resection of sigmoid volvulus

AI-generated summary

Julie Anne White, 59, died from complications of pseudo-obstruction following previous sigmoid volvulus resection. She had intellectual disability, dementia, schizophrenia, depression, and chronic bowel dysmotility. Admitted July 2024 with abdominal distension, she underwent flexible sigmoidoscopy, colonoscopy with colostomy formation, and experienced aspiration pneumonia. Despite maximal medical management, she developed recurrent obstruction and transitioned to palliative care. The coroner found her care at both the disability accommodation and hospital was appropriate. This case highlights the challenges of managing chronic bowel dysmotility in patients with multiple comorbidities and the importance of early palliative care discussions in complex cases.

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

Specialties

general surgerypalliative caregastroenterologypsychiatryforensic medicine

Clinical conditions

pseudo-obstructionsigmoid volvuluscolonic dysmotilityaspiration pneumoniaintellectual disabilityfrontoparietal dementiaschizophreniadepressionchronic constipation

Procedures

flexible sigmoidoscopybowel decompressioncolonoscopylaparoscopic colostomy formation

Contributing factors

  • chronic constipation and colonic dysmotility
  • previous sigmoid volvulus with anterior resection
  • aspiration pneumonia
  • recurrent bowel obstruction
Full text

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