Coronial

19 results for abdominal drainage

VIChospital2024-04-11

Finding into death of Mark Andrew Spillane

58y · Male·Septic shock secondary to intra-abdominal collections as sequelae of osteomyelit…

… 58-year-old man with Down syndrome and multiple comorbidities died from septic shock secondary to intra-abdominal collections caused by osteomyelitis/discitis of the spine. He initially presented with a foot bone infec…

infectious diseasesgeneral medicine
WAhospital2018-06-14

Inquest into the Death of Anne RZEPCZYNSKI

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. K…

general surgeryintensive carediagnosticdelayantibiotics
VIChospital2017-05-19

Finding into death of Jane Laura Gooding

39y · Female·multiorgan failure and probable sepsis

…iving in residential care, presented to Knox Private Hospital with fever, shortness of breath, vomiting, abdominal pain, and hypotension. She was intubated and admitted to ICU with suspected sepsis. CT imaging revealed …

emergency medicineintensive care
SAhospital2001-05-04

Coroner's Finding: ROACH Dawn Ruth

45y · Female·Multi-organ failure due to septicaemia and peritonitis due to faecal leakage fro…

…poorly constructed: sited in a deep body fold under tension, with an unsuture bridge, and lacking abscess drainage. These deficiencies led to predictable failure. Despite early nursing warning signs (darkening stoma from…

colorectal surgerygeneral surgeryproceduralcommunication
SAhospital2014-11-28

Coroner's Finding: ANDERSON Joel Kenneth

50y · Male·hepatic encephalopathy secondary to liver cirrhosis with background of hepatitis…

…tic encephalopathy causing confusion and delirium. Despite appropriate medical management including fluid drainage, PICC line insertion for medication delivery, antibiotic treatment for peritonitis, and endoscopic assess…

gastroenterologyhepatologyspironolactone
WAhospital2022-06-23

Inquest into the Death of Lee MILCHERDY

75y · Female·Complications including acute pancreatitis and refractory intra-abdominal sepsis…

Lee Milcherdy, 75, died from complications including acute pancreatitis and refractory intra-abdominal sepsis following an unnecessary ERCP procedure. An MRCP scan on 12 October 2018 showed no gallstone, mak…

gastroenterologygeneral surgerycommunicationdiagnostic
WAhospital2025-05-08

Inquest into the Death of Tony RUICH

55y · Male·decompensated liver failure in a man with metastatic hepatocellular carcinoma, w…

…ng cirrhosis diagnosed in 2012, likely from hepatitis C and chronic alcohol dependence. In October 2023, abdominal pain investigations revealed advanced hepatocellular carcinoma with portal vein thrombosis, deemed unsui…

hepatologypalliative careheroin
NThospital2007-03-16

Inquest into the death of Jason Donald

33y · Male·Multiple injuries sustained in a single vehicle crash, complicated by acalculous…

…tial improvement, but the deceased developed complications including acalculous cholecystitis with large abdominal abscesses and necrotizing fasciitis requiring surgery. A massive intracerebral bleed ultimately caused d…

intensive caretrauma surgery
QLDhospital2025-06-20

Inquest into the death of Christopher Glen Essery

74y · Male·Sepsis secondary to fistulating Crohn's disease and post-surgery complications f…

…exandra Hospital (PAH) on 31 August 2018 for specialist management of enterocutaneous fistulas and intra-abdominal collections. Critical systemic failures occurred: (1) no early post-admission colorectal surgical consul…

colorectal surgerygastroenterologysystemcommunication
SAhospital2000-07-21

Coroner's Finding: HOWIESON Julie Ann

43y · Female·sepsis secondary to extensive acute peritonitis following perforation of small b…

…llowing small bowel perforation during laparoscopic tubal ligation. She was at high risk due to previous abdominal surgeries and adhesions. A 4-5mm perforation occurred during the procedure but was not detected intraope…

gynaecologyanaesthesiadiagnosticdelay
SAhospital2025-05-20

Coroner's Finding: Lane, Kevin Roy

81y · Male·inanition complicating traumatic brain injury and disseminated malignancy

An 81-year-old man with metastatic bowel cancer suffered a traumatic brain injury from a fall, resulting in multiple intracerebral haemorrhages and cerebral contusions. He was delirious and presented challenging behaviou…

neurosurgerygeneral medicine
VIChospital2022-10-18

Finding into death of Kenneth Ernest O'Brien

74y · Male·Intra-abdominal haemorrhage complicating elective umbilical hernia repair

…tively, he developed hypotension and was transferred to ICU. The coroner found that post-operative intra-abdominal haemorrhage was not recognised early enough. Critical factors included: over-reliance on a single haemog…

general surgeryanaesthesiadiagnosticcommunicationapixaban
VIChospital2018-03-08

Finding into death of Lesley Fallon

56y · Female·Aspiration Pneumonia in the setting of Cerebral Palsy and Epilepsy

Lesley Fallon, a 56-year-old woman with cerebral palsy and epilepsy living in high-level residential care, presented with sepsis complicated by pneumonia, cholecystitis, and aspiration risk. Despite aggressive treatment …

infectious diseasesrespiratory medicineantibiotics
WAhospital2013-01-17

Inquest into the Death of Mckay-Hall, Julienne Maria

46y · Female·Complications following cardiorespiratory arrest in association with an air embo…

…ber, the surgeon saw the patient but failed to read nursing notes documenting signs of sepsis (green bile drainage, elevated vital signs, shoulder tip pain), instead documenting her as 'stable'. On 12 November, critical …

general surgerybariatric surgerydiagnosticcommunicationmorphine
TAShospital2019-04-16

Coroner's Finding: Hill, Phillip John

82y · Male·sepsis due to faecal peritonitis due to suture failure of bowel anastomosis foll…

…roceeded without incident. Five days post-operatively, he developed symptoms of bowel leak (hiccoughing, abdominal distension, vomiting, confusion) but diagnosis was delayed because he lacked typical sepsis markers (nor…

colorectal surgerygeneral surgerydelayamiodarone
VIChospital2022-05-09

Finding into death of Robert Albert Burns

75y · Male·Multiorgan dysfunction syndrome complicating anastomotic leak following hemicole…

… appeared normal, but he deteriorated from day 3 onwards. The surgical team did not investigate an intra-abdominal cause until day 8 post-surgery, despite clinical indicators of infection. A CT scan on day 10 revealed f…

colorectal surgeryintensive carediagnosticdelay
VIChospital2013-08-13

Finding into death of Thelma Katherine Holt

79y · Female·pneumonia in the setting of acute peritonitis due to perforated stomach (operate…

… 11 September 2008 for weight loss prior to hernia repair. On 30 January 2009, she presented with severe abdominal pain and vomiting. CT imaging confirmed gastric outlet obstruction from the balloon. Despite this, her g…

gastroenterologygeneral surgerydiagnosticproceduralsertraline
VIChospital2013-05-07

Finding into death of Gurpal Sandhu

64y · Female·Lymphocytic choriomeningitis virus (LCMV)-like arenavirus infection, post liver …

A 64-year-old woman died on 3 January 2007 from a lymphocytic choriomeningitis virus (LCMV)-like arenavirus acquired through cadaveric liver transplantation. The donor had recently returned from Serbia with unexplained w…

transplant medicinehepatologycommunicationsystem
QLDhospital2007-10-29

Cvitic, Nardia Annett

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…

oncologygeneral surgerydiagnosticmedicationheparin

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