72y · Male·Complications of subtotal colectomy for diffuse polyposis and invasive adenocarc…
…ed 72, died in custody at Prince of Wales Hospital on 9 December 2019, nine days after elective subtotal colectomy for bowel cancer. Post-operatively, he developed complications including pleural effusion and multi-orga…
82y · Male·sepsis due to faecal peritonitis due to suture failure of bowel anastomosis foll…
…year-old man died from sepsis due to faecal peritonitis following anastomotic breakdown after right hemi-colectomy for colon cancer. Surgery was appropriate and proceeded without incident. Five days post-operatively, he…
93y · Male·Complications following colectomy for Clostridium difficile pancolitis in the se…
…ansferred back to the tertiary hospital where C. difficile pancolitis was diagnosed, requiring emergency colectomy. He died from post-operative complications. The coroner found no want of care, but noted that clinicians…
58y · Male·Aspiration pneumonia complicating small bowel obstruction in the setting of rece…
… aspiration pneumonia complicating small bowel obstruction six days after elective laparoscopic subtotal colectomy for colorectal cancer. On post-operative day 6, he developed fever, tachycardia, and hypoxia. A surgeon …
65y · Male·complications of end stage chronic obstructive pulmonary disease
…omy, subsequently developed compartment syndrome, pancolitis with sigmoid perforation requiring subtotal colectomy, and experienced recurrent infections including pseudomonas chest infection. He deteriorated despite app…
38y · Male·multi organ failure secondary to intestinal ischaemia from toxic megacolon relat…
…ed colonic distension. He suffered cardiac arrest while awaiting surgical review and underwent emergency colectomy. Despite appropriate clinical assessment and timely surgical intervention, he died from ischaemic bowel …
47y · Male·Multi organ failure and sepsis complicating ulcerating colitis and intestinal ob…
… a second fall at the toilet. Despite multidisciplinary team care including ICU management and emergency colectomy, he developed peritoneal sepsis and multi-organ failure. The coroner found no deficiency in medical care…
60y · Female·Peritonitis due to anastomotic leak following subtotal colectomy for treatment o…
60-year-old woman died from septic shock due to anastomotic leak following subtotal colectomy for synchronous bowel cancers. Early postoperative bronchospasm complicated clinical assessment, leading…
67y · Female·Intra-abdominal sepsis complicating an anastomotic leak following elective surge…
A 67-year-old woman died from intra-abdominal sepsis following an anastomotic leak from elective colorectal surgery to repair a vesico-colic fistula. The initial surgery on 1 November 2017 was appropriately performed, an…
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…
52y · Male·Intestinal failure/sepsis arising from venous ischemia as a result of superior m…
Patrick Thomas, a 52-year-old man, died from intestinal failure and sepsis following an accidental division of the superior mesenteric vein (SMV) during laparoscopic surgery for colon cancer at Kareena Private Hospital o…
29y · Male·Multiple drug toxicity
Shane John Robinson, a 29-year-old prisoner with complex medical conditions including Crohn's disease, pulmonary embolism, anaemia and schizoaffective disorder, died from multiple drug toxicity in prison. He had been pre…
47y · Male·acute renal failure caused by bilateral ureteral obstruction due to metastatic c…
Sean Waygood, an Extreme High Security prisoner, died from acute renal failure caused by metastatic colorectal cancer. He presented with abdominal pain, constipation, and blood per rectum in March 2011 but received subop…
48y · Female·Ischaemic bowel; coronary artery disease, diabetes mellitus and Crohn's disease …
Ms Vicki Higgins, a 48-year-old woman with diabetes, Crohn's disease (with prior colectomy and ileostomy), and coronary artery disease, died from ischaemic bowel on day 17 of incarceration at Jun…
23y · Female·Necrotising retroperitoneal fasciitis due to acute perforated gangrenous appendi…
Ms H, a 23-year-old with Asperger's syndrome and intellectual impairment under OPG guardianship for healthcare decisions, presented to Redcliffe Hospital ED with abdominal pain, vomiting and diarrhoea. Despite clinical c…
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…
79y · Male·complications of peritonitis
A 79-year-old man with multiple comorbidities presented with a perforated bowel requiring emergency Hartmann's procedure. The operating surgeon, Dr L.-Ming Schmidt, made a catastrophic surgical error by exteriorising the…
49y · Female·Intra-abdominal haemorrhage, septic and haemorrhagic shock as a result of a lapa…
Deborah Burgen died from intra-abdominal haemorrhage complicated by septic shock following delayed emergency surgery for bowel obstruction. She attended the emergency department six times over eleven days with identical …
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