15 results
11y · Male·Sepsis
An 11-year-old boy with autism spectrum disorder (ASD level 3), ADHD, and obesity died from sepsis on 20 June 2022. He presented to Rosebud Hospital ED on 14 June with fever, vomiting, and low blood pressure, was dischar…
2y · Unknown·Hypoxic-ischaemic encephalopathy following sepsis related to abdominal surgical …
BCT was a 2-year-old Aboriginal child with complex needs from a genetic disorder (CAMTA1 mutation) who died from hypoxic-ischaemic encephalopathy following sepsis related to bowel perforation after a percutaneous endosco…
38y · Male·abdominal and chest sepsis complicating iatrogenic left pneumothorax and laparot…
A 38-year-old man with chromosome 1 short arm deletion syndrome, intellectual disability, and scoliosis died from sepsis following iatrogenic pneumothorax and emergency laparotomy for small bowel obstruction. He was admi…
59y · Female·complications of intra-abdominal sepsis, including multi-organ failure and bowel…
59-year-old woman died from intra-abdominal sepsis, multi-organ failure and bowel perforation following median hepatectomy for cholangiocarcinoma. Key clinical issues included: surgical delays of 20 days between stent in…
73y · Female·Multiple organ failure due to or as a consequence of sepsis due to or as a conse…
73-year-old woman died 12 days after elective colorectal surgery for synchronous caecal and rectal tumours. Post-operatively, she developed persistent low urine output and intermittent hypotension managed with repeated f…
76y · Male·multiple organ failure due to large volume aspiration of gastric contents during…
Maurice Nancarrow, 76, died from multiple organ failure following aspiration of gastric contents during anaesthetic induction for cystoscopy on 15 August 2015. He had undergone colorectal surgery on 30 July with complica…
29y · Female·Exsanguination post tubal ligation procedure
A 29-year-old woman died from exsanguination following an iatrogenic injury during elective laparoscopic tubal ligation at a regional hospital. A vascular injury to the right external iliac artery occurred during the pro…
5y · Female·Cerebral hypoxic and ischaemic injury in a setting of clinical birth asphyxia
Chloe Kellett was born at 39 weeks gestation after induction of labour for rupture of membranes and group B streptococcus positivity. She was delivered by forceps in theatre for a non-reassuring cardiotocogram (CTG) trac…
50y · Male·myocardial infarction caused by coronary atherosclerosis
Desmond Jambajimba Tilmouth, a 50-year-old Aboriginal man, died of myocardial infarction from severe coronary atherosclerosis complicated by end-stage renal disease and an incarcerated strangulated umbilical hernia. He d…
46y · Female·Complications following cardiorespiratory arrest in association with an air embo…
A 46-year-old woman died from air embolism during a gastroscopy to manage complications from bariatric surgery. The initial laparoscopic sleeve gastrectomy on 9 November 2007 had a staple misfire that was inadequately re…
64y · Male·Postoperative intra-abdominal bleeding from pancreatic artery injury and its con…
John Reginald Beech, 64, died at Sydney Adventist Hospital on 24 April 2007 from postoperative intra-abdominal hemorrhage following colonic surgery. One week earlier, he underwent high anterior resection and hernia repai…
56y · Male·Cardiogenic shock, end stage ischemia due to chemo related cardiomyopathy, fulmi…
Andrew Westley, 56, underwent heart transplantation at The Alfred Hospital for dilated cardiomyopathy secondary to chemotherapy for Hodgkins lymphoma and prior cardiac surgery. The procedure involved a 9-hour ischaemic t…
57y · Male·Sepsis and acute renal failure due to pneumonia
A 57-year-old man with spina bifida, intellectual disability, and multiple comorbidities presented to hospital with chest pain, breathing difficulty, atrial fibrillation, and hypoxia. He was diagnosed with chest sepsis, …
83y · Female·Haemorrhage due to mitral valve disease (surgically repaired); specifically haem…
An 83-year-old woman died from haemorrhage following mitral and tricuspid valve repair surgery. During intra-operative testing of the repaired mitral valve using Blake's tubing (soft rubber tubing with a bevelled end) at…
77y · Male·complications of haemothorax and hypotension following drainage of pleural effus…
77-year-old male died from complications of haemothorax and hypotension following drainage of pleural effusion post-coronary bypass surgery, in the setting of pre-existing renal impairment and diabetes. During pleural ta…
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