Coronial

53 results for gastrointestinal bleeding

TAShospital2025-06-17

Coroner's Finding: de-identified RS

68y · Male·Exsanguination due to peptic ulcer of the duodenum with erosion into the gastrod…

A 68-year-old man presented to the emergency department with two episodes of fresh rectal bleeding and elevated blood urea. Despite stable vital signs, he was discharged after two hours with haemorrhoid s…

emergency medicinegastroenterologydiagnosticdelay
VIChospital2016-09-15

Finding into death of Bernas Hasibuan

50y · Male·gastrointestinal haemorrhage; haemorrhage from cystic artery post laparoscopic c…

A 50-year-old man died from gastrointestinal haemorrhage involving both a cystic artery and duodenal defect following laparoscopic cholecystectomy…

general surgeryintensive carediagnosticcommunication
TAShospital2024-06-27

Coroner's Finding: Patterson, Alexander Frank

65y · Male·Bleeding duodenal ulcer

…e 2 diabetes presented to hospital with haematemesis, hypoglycaemia, and postural hypotension caused by a bleeding duodenal ulcer. He was misdiagnosed with atypical pneumonia causing confusion. Critical diagnostic signs …

emergency medicinegastroenterologydiagnosticcommunication
SAhospital2021-11-25

Coroner's Finding: Cannell, Peter Tasman

48y · Male·Multi-organ failure from acute gastrointestinal haemorrhage associated with oeso…

Peter Tasman Cannell, aged 48, died in Flinders Medical Centre from multi-organ failure due to acute gastrointestinal haemorrhage from oesophageal varices on a background of liver cirrhosis. He had a medical history of …

gastroenterologyhepatology
QLDhospital2017-02-28

Paddon, Darrin Edward

51y · Male·Acute myocardial infarction due to coronary atherosclerosis

…arditis, and aortic valve disease died in custody from acute myocardial infarction. He presented with gastrointestinal bleeding, pancytopenia, and cardiac decompensation requiring multiple resuscitations over four days. …

nephrologycardiologyaspirin
VIC2011-10-24

Finding into death of Dale Graeme Cook

41y · Male·Pneumonia and carcinoma of the oesophagus

Dale Cook, a 41-year-old man with cerebral palsy living in residential care, presented with gastrointestinal bleeding and deterioration on 11 July 2011. He had advanced oesophageal carcinoma. After family consu…

emergency medicinepalliative care
VIChospital2014-05-28

Finding into death of Margaret Webber

48y · Female·Aspiration of stomach contents and pneumonia, following cardiac arrest

…sented to hospital with diabetic ketoacidosis (DKA) and coffee-ground vomit, which raised concern for gastrointestinal bleeding. Clinical management appropriately treated DKA as the primary diagnosis while monitoring for…

emergency medicineendocrinologyinsulin infusion
TASmental health2019-06-28

Coroner's Finding: Hughes, Joan May

85y · Female·aspiration of gastric contents following vomiting

…ession and was under a Mental Health Act treatment order. During the week before death, she developed gastrointestinal symptoms including pain and vomiting. GP Assist telephone advice was obtained on 15 June; staff were …

psychiatrygeriatric medicinecitalopram
TAShospital2023-02-17

Coroner's Finding: Hanslow, Rodney James

86y · Male·progressive cognitive decline/decompensation and gastrointestinal haemorrhage

…g staff documented multiple episodes of melaena (black tarry stools) from 21 July onwards, indicating gastrointestinal bleeding. Critical errors occurred: (1) his proton pump inhibitor (PPI), which he had taken for 14 ye…

general medicinegastroenterologymedicationdiagnosticproton pump inhibitor
VIChome2014-12-01

Finding into death of Colin John Rafferty

57y · Male·Gastrointestinal haemorrhage due to a duodenal ulcer in the setting of recent ne…

…n Rafferty, a 57-year-old man with acquired brain injury living in supported accommodation, died from gastrointestinal haemorrhage due to a duodenal ulcer eight days after undergoing left nephrectomy for renal carcinoma.…

surgerypathology
VICaged care2025-09-10

Finding into death of Frances Mary Hayden

78y · Female·Complications of mandibular fractures sustained in a fall, in the setting of mal…

… was given appropriate agency in her treatment decisions, including her refusal of investigations for gastrointestinal bleeding and further interventions. No clinical errors or preventability factors were identified.

geriatric medicinepsychiatry
NSWhospital2025-08-22

Inquest into the death of Frank Valentine

83y · Male·Congestive cardiac failure due to ischaemic and valvular heart disease, with her…

…o his complex cardiac and haematological conditions. His final admission involved management of upper gastrointestinal bleeding secondary to HHT telangiectasias, complicated by the need to balance anticoagulation for atr…

cardiologygastroenterologywarfarin
SAaged care2022-04-14

Coroner's Finding: Lauder, Ian Ross

80y · Male·general inanition and pneumonia on a background of advanced vascular dementia, c…

…italisation, he experienced a posterior cerebral artery stroke, anaemia requiring blood transfusions, gastrointestinal bleeding, and worsening delirium. Upon discharge, he continued to refuse food and medication, with fu…

geriatric medicineorthopaedic surgeryproton pump inhibitors
VIC2024-10-16

Finding into death of Craig John Reynolds

62y · Male·Hypertensive and ischaemic heart disease in a man with diabetes mellitus

…when he suffered a fall on 22 June 2023. He subsequently developed severe anaemia, hypoglycaemia, and gastrointestinal bleeding from multiple gastric ulcers, requiring ICU admission on 28 June. Despite medical advice, he…

cardiologygastroenterologyoxycodone
VIChospital2014-07-16

Finding into death of Beverly Davidge

78y · Female·Acute gastrointestinal haemorrhage

…Davidge, a 78-year-old woman with intellectual disability living in residential care, died from acute gastrointestinal haemorrhage in hospital. She presented initially with haematemesis and melaena on 11 November 2013, w…

gastroenterologygeneral medicine
VIChospital2011-12-01

Finding into death of Tyler Di Blasi

1y · Male·Parainfluenza, pneumonitis and asthma; haemorrhagic mucositis of the bowel and g…

…ped parainfluenza pneumonitis, severe asthma, chemotherapy-induced neutropenia, thrombocytopenia, and gastrointestinal bleeding with haemorrhagic mucositis. Despite appropriate intensive management including bronchodilat…

intensive careoncologychemotherapy
QLDhospital2006-09-13

Rawson, Robert Donald

68y · Male·Internal haemorrhage due to coagulopathy and upper gastrointestinal varices, cir…

…y contributed significantly to death, which resulted from rapid hepatic decompensation, coagulopathy, gastrointestinal bleeding, and acute cardiac events. The coroner recommended Queensland Health address equipment stand…

general surgeryrespiratory medicinesystemproceduralfresh frozen plasma
SAhospital2010-10-25

Coroner's Finding: CAMERON Louise Cherise

32y · Female·ischaemic heart disease complicated by upper gastrointestinal haemorrhage

…ngle troponin test and ECG. She died the next day from acute coronary thrombosis complicated by upper gastrointestinal haemorrhage. Critical omissions included: failure to perform a rectal examination despite clear signs…

emergency medicinecardiologydiagnosticproceduralmorphine
SAhospital2016-09-01

Coroner's Finding: CALLAGHAN Brian Francis

79y · Male·Multi-organ failure due to pneumonia and bleeding duodenal ulcer complicating su…

…eft hip fracture requiring surgery. Post-operatively, he developed hospital-acquired pneumonia, upper gastrointestinal bleeding from a duodenal ulcer, acute kidney injury, and severe delirium requiring Mental Health Act …

general surgeryorthopaedic surgery
VIChospital2025-02-04

Finding into death of Tan Van Tran

53y · Male·Gastrointestinal haemorrhage complicating recent PEG insertion with stroke as a …

Tan Van Tran, a 53-year-old man with prior stroke causing severe dysphagia, died from gastrointestinal haemorrhage complicating recent PEG insertion. He was admitted with aspiration pneumonia and underwen…

gastroenterologyemergency medicinepiperacillin-tazobactam

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