58 results
45y · Female·Epilepsy
45-year-old woman with chronic epilepsy and intellectual disability died following a prolonged seizure with cardiac arrest at a supported accommodation facility. She was found fitting, became unresponsive and apnoeic wit…
52y · Male·HIV infection complicated by basal and squamous cell carcinoma of the head and n…
Bruce Jason Garrett, a 52-year-old prisoner detained under the Dangerous Sexual Offenders Act, died at Royal Perth Hospital on 2 October 2010 from HIV infection complicated by basal and squamous cell carcinoma of the hea…
68y · Female·Massive blood loss due to disconnection of haemodialysis machine
Judith Heath, age 68, died from acute blood loss on 7 September 2006 at The Alfred Hospital during routine haemodialysis for end-stage renal failure. The Luer-Lok connection between her arteriovenous catheter and the hae…
38y · Female·Pulmonary Thromboembolism
Kellie Anne Keogh, 38, died from pulmonary thromboembolism on 10 November 2008 after complex pancreatic surgery. She had nephrotic syndrome with decreased anti-thrombin III levels, initially presenting with suspected DVT…
Female·Emily Ruth Leonard: multi-organ failure due to overwhelming sepsis from a perfor…
Two elderly women died following vaginal prolapse surgery performed by the same surgeon, Dr O., with similar mechanisms: bowel perforation leading to peritonitis and sepsis. Mrs Leonard (77) underwent laparoscopic surger…
81y · Female·Severe cardiogenic shock complicating cardiac surgery
An 81-year-old woman died of severe cardiogenic shock following elective aortic valve replacement complicated by intraoperative haemodynamic instability and inadequate postoperative ICU management. The surgery involved e…
93y · Male·ischaemic heart disease
A 93-year-old man with extensive cardiac history died of ischaemic heart disease while detained under the Mental Health Act. He presented with delirium likely secondary to urinary tract infection from an indwelling cathe…
39y · Female·heart failure connected to a massive pulmonary embolus as a result of deep vein …
A 39-year-old woman died from acute heart failure due to massive pulmonary embolus from deep vein thrombosis two days after laparoscopic appendicectomy. She presented to ED with abdominal pain and nausea, was diagnosed w…
81y · Female·hypovolaemic shock following bleeding from the site of a femoral angiogram
Olga Krivitch, 81-year-old woman, died from hypovolaemic shock caused by bleeding from her femoral angiogram puncture site. She was admitted for ischaemic leg and underwent unsuccessful thrombolytic therapy. Subsequently…
58y · Female·acute peritonitis, which led to the development of acute septicaemia following a…
A 58-year-old woman died from acute peritonitis and sepsis following surgery for duodenal diverticulum. Initial elective surgery on 4 March 2008 was technically successful, but the patient deteriorated with suspected com…
30y · Female·Multi-organ failure due to multiple transfusions required for post-operative ble…
Ms Cvitic, a 30-year-old woman with cervical cancer, underwent radical hysterectomy on 11 February 2002. She collapsed on 14 February with signs of hypovolaemic shock (haemoglobin 5.3 g/dL). Dr W. performed emergency lap…
35y · Male·pulmonary thromboembolism due to left deep calf vein thrombosis complicating lef…
John Matthew Murray, aged 35, died from pulmonary thromboembolism caused by deep vein thrombosis following a severe motorcycle accident that resulted in pelvic and leg fractures. He was treated surgically at Royal Adelai…
35y · Male·pulmonary thromboembolism due to left deep calf vein thrombosis complicating lef…
John Matthew Murray, aged 35, died of pulmonary thromboembolism complicating pelvic and leg fractures sustained in a motorcycle accident. He was admitted to Royal Adelaide Hospital and underwent extensive orthopaedic sur…
45y · Male·Intra Abdominal Haemorrhage Associated with Metastatic Carcinoma of the Oesophag…
Reginald Brian O'Neill, a 45-year-old sentenced prisoner at Karnet Prison Farm, died from intra-abdominal haemorrhage associated with metastatic oesophageal carcinoma on 6 December 2003. In late November 2003, he present…
72y · Male·Subarachnoid haemorrhage in a man with coronary arteriosclerosis
Ilija Kocovski, a 72-year-old man with a history of ischaemic heart disease, presented to Royal Perth Hospital Emergency Department on 22 October 2000 with chest pain, nausea, vomiting, and headache after arriving in Per…
63y · Male·pneumonia complicating anoxic brain injury, due to post-operative haemorrhage as…
A 63-year-old man died from pneumonia complicating anoxic brain injury following a post-operative haemorrhage from the inferior epigastric artery during ileostomy closure surgery. The critical failure was a 2.5-hour dela…
60y · Female·haemorrhagic shock and respiratory failure due to right-sided haemothorax compli…
A 60-year-old woman with metastatic breast cancer and COAD died from haemorrhagic shock due to right-sided haemothorax complicating thoracentesis. The procedure was appropriately performed to drain a pleural effusion on …
33y · Female·Raised intracranial pressure secondary to thrombosis of the superior sagittal, t…
A 33-year-old woman presented with acute neurological symptoms (headaches, weakness, slurred speech, seizures) on 26 August 2000. Initial CT imaging showed focal haemorrhage with oedema; repeat CT after 50 minutes showed…
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