Coronial
VIChospital

Finding into death of William Anthony Daniel

Deceased

William Anthony Daniel

Demographics

72y, male

Coroner

Coroner Dimitra Dubrow

Date of death

2024-11-09

Finding date

2026-01-29

Cause of death

Complications of a gastroduodenal perforation (palliated) in the setting of multiple medical comorbidities

AI-generated summary

William Anthony Daniel, a 72-year-old SDA resident with intellectual impairment and multiple comorbidities, presented to Box Hill Hospital on 7 November 2024 with postural hypotension, nausea, vomiting and abdominal pain. CT imaging revealed a gastroduodenal perforation with free fluid and pneumoperitoneum. After discussion with family, a palliative approach was chosen rather than diagnostic laparoscopy or surgery, as these were deemed unlikely to improve quality of life. William was managed with intravenous antibiotics, fluids and analgesia. He deteriorated rapidly overnight with increased respiratory rate and severe pain, transitioned to end-of-life care, and died the following morning. The coroner accepted that this was a natural death from complications of gastroduodenal perforation in the setting of multiple medical comorbidities, with no inquest held.

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

Specialties

general surgeryemergency medicinepalliative careintensive care

Drugs involved

antibioticssubcutaneous morphineintravenous fluids

Clinical conditions

gastroduodenal perforationpneumoperitoneumhypertensionglaucomaosteoporosisintellectual impairmentcerebral oedemapleural effusion

Procedures

CT scan of brainabdominal CT scanmedical emergency team call

Contributing factors

  • gastroduodenal perforation with free fluid and pneumoperitoneum
  • multiple medical comorbidities
  • intellectual impairment affecting consent and clinical decision-making
  • advanced age and frailty
  • rapid clinical deterioration despite medical management
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