Deceased
MD
Demographics
82y, male
Coroner
Coroner Sarah Gebert
Date of death
2025-02-07
Finding date
2026-01-23
Cause of death
Complications of large bowel obstruction in a man with diverticular disease and other co-morbidities
AI-generated summary
An 82-year-old man died from complications of large bowel obstruction secondary to a sigmoid mass while incarcerated at Port Phillip Prison. He presented with abdominal pain and vomiting following a fall, and imaging confirmed large bowel obstruction. A colorectal fellow recommended emergency surgery (laparotomy and Hartmann's procedure), but perioperative medicine and ICU teams deemed him too high-risk due to extensive comorbidities including heart failure, chronic kidney disease, atrial fibrillation, and peripheral vascular disease. Following discussion with the patient and family, palliative management was chosen. The coroner found the medical care was reasonable and the death was not preventable, noting that early detection of the bowel mass would unlikely have changed outcomes given his comorbidities precluded most treatments.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Drugs involved
Clinical conditions
59y · Female·Complications of a pseudo-obstruction on a background of previous anterior resec…
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. Admi…
72y · Male·Complications of a gastroduodenal perforation (palliated) in the setting of mult…
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…
85y · Male·Liver ischaemia and portal vein thrombosis complicating emergency cholecystectom…
Kenneth James Anderson, an 85-year-old man with intellectual disability and multiple comorbidities including diabetes, pancreatitis, and gallstones, died following emergency cholecystectomy for acute cholecystitis with M…
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