Coronial

42 results for gastrointestinal symptoms

WAmental health2020-08-06

Inquest into the Death of Stephen Michael KELL

35y · Male·acute vomit aspiration in a man with acute large intestine obstruction (severe m…

…tal from acute vomit aspiration in the setting of acute large bowel obstruction and clozapine-induced gastrointestinal hypomotility. Despite appropriate psychiatric care and clozapine treatment per 2015 guidelines, a ser…

psychiatrygastroenterologysystemdelayclozapine
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
TAShospital2019-04-18

Coroner's Finding: Kenney, Margaret Patricia

83y · Female·upper gastrointestinal bleed with haemodynamic compromise following anticoagulat…

Margaret Patricia Kenney, 83, died from upper gastrointestinal bleeding complicated by cardiac arrest while anticoagulated for atrial fibrillation. She had been dia…

general medicinecardiologymedicationdiagnosticpantoprazole
VIChospital2026-04-07

Finding into death of Ronald Nieuwenhuis

65y · Male·Metastatic disease with gastrointestinal primary (adenocarcinoma)

…ed to hospital in January 2025 with abdominal pain and was found to have metastatic adenocarcinoma of gastrointestinal origin with ascites and renal involvement. He was transitioned to palliative care and died six weeks …

emergency medicineradiology
QLDhospital2016-02-29

Mr B - Non-inquest findings

84y · Male·Acute myocardial infarction precipitated by upper gastrointestinal haemorrhage f…

… blood transfusions. Rivaroxaban cannot be monitored or reversed, unlike warfarin. He developed upper gastrointestinal bleeding from a gastric ulcer, possibly exacerbated by concurrent use of a naturopathic cherry juice …

cardiologyhaematologymedicationcommunicationrivaroxaban
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
VIChospital2017-11-09

Finding into death of Emma Kate McGrath

19y · Female·Meningococcal septicaemia

…with a 12-hour history of vomiting, diarrhoea, abdominal pain and fever. The atypical presentation of gastrointestinal symptoms rather than classic meningeal signs is characteristic of meningococcal W in adolescents and …

emergency medicineintensive careparacetamol
SAhospital2022-03-30

Coroner's Finding: Dunn, Julie Michele

56y · Female·sepsis secondary to disseminated pancreatic adenocarcinoma

… of sepsis secondary to disseminated pancreatic adenocarcinoma. She had presented months earlier with gastrointestinal symptoms (weight loss, nausea, vomiting, epigastric burning) initially attributed to relapse of eatin…

general medicineoncologydiagnostictramadol
VIChospital2019-04-04

Finding into death of Isabella Estelle Rees

1y · Female·Gastrointestinal haemorrhage due to aorto-oesophageal fistula caused by lodged b…

…ed in her oesophagus caused progressive caustic injury leading to aorto-oesophageal fistula and fatal gastrointestinal haemorrhage. Parents repeatedly expressed concerns about foreign body ingestion but these were not do…

emergency medicinepaediatricsdiagnosticcommunicationondansetron
VIChospital2025-02-21

Finding into death of Douglas George Coyle

62y · Male·Complications of likely sepsis in the setting of a pseudo bowel obstruction in a…

…te given his poor functional baseline and longstanding Hirschsprung's disease. Earlier recognition of gastrointestinal symptoms and more urgent medical assessment before 16 June might have allowed earlier intervention, t…

general practiceemergency medicinedelay
TAScommunity2026-05-26

Coroner's Finding: de-identified HK

32y · Female·Unable to be determined

…y in August 2024 (above the recommended starting dose) for weight management. She developed prolonged gastrointestinal symptoms and took loperamide for diarrhea control. On 27 December 2024, while driving in Perth, Tasma…

general practiceparamedicinesemaglutide
QLDcommunity2010-09-16

Petersen, David Robert

35y · Male·intra-abdominal haemorrhage caused by ruptured spleen

…I bleeding history, no adequate differential diagnosis, and failure to refer to hospital despite red flag symptoms. Expert evidence indicated hospital referral was the only reasonable course. The coroner found evidence o…

general practiceemergency medicinediagnosticcommunicationparacetamol/codeine
WAhospital2015-09-18

Inquest into the Death of David Yehuda WEISER

70y · Male·gastrointestinal haemorrhage in a man with gastric ulcers

…ed him and found a haemoglobin of 92 g/L and elevated urea/creatinine ratio (32.0/208), diagnostic of gastrointestinal haemorrhage. Despite these findings and the patient's reported melaena, Dr H. diagnosed gastroenterit…

emergency medicinegastroenterologydiagnosticcommunicationaspirin
SAhome2016-05-05

Coroner's Finding: MITTON Rodney Lyle

63y · Male·coronary artery thrombosis

…ent appropriate, and made no recommendations. The case highlights the challenge of distinguishing cardiac symptoms from gastrointestinal complaints in complex patients, and the importance of comprehensive cardiovascular …

psychiatrycardiologyolanzapine
SAhospital2008-01-02

Coroner's Finding: WOOD Jacqueline Moyra

17y · Female·raised intracranial pressure due to hepatic encephalopathy related cerebral oede…

…pected gastroenteritis. Early clinical presentation mimicked infectious gastroenteritis with seizure-like symptoms; paracetamol toxicity was not suspected without disclosure of ingestion. The coroner found the death resu…

paediatricsintensive carediagnosticparacetamol
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
QLDhospital2007-04-05

Smith, Arthur Lawrence

75y · Male·Acute cardiac failure due to mitral valve disease (surgically treated)

…a). Despite his recent cardiac surgery, the triage assessment directed him to RBWH based primarily on gastrointestinal bleeding symptoms, as TPCH lacked gastroenterology services. At RBWH, severe mitral valve regurgitati…

cardiothoracic surgeryemergency medicinecommunicationdiagnosticadrenaline
TASaged care2018-10-30

Coroner's Finding: Dent, Freda Lillian Florence

85y · Female·ischaemic heart disease due to stenosis of coronary bypass grafts

…5-year-old woman with significant cardiac history (prior coronary artery bypass graft) presented with gastrointestinal symptoms. Her GP ceased rosuvastatin without direct communication to nursing staff. Care staff identi…

general practicegeriatric medicinecommunicationsystemrosuvastatin
WAhospital2016-09-28

Inquest into the Death of Donald Richard BROADRIBB

79y · Male·Bronchopneumonia and acute bronchiolitis

…ced fever response), importance of considering infection in differential diagnosis even with non-specific symptoms, value of secondary medical assessment before discharge, and risks of diagnostic anchoring on gastrointes…

emergency medicinegeneral practicediagnosticcommunicationhyoscine butylbromide
VIChospital2019-04-02

Finding into death of Bevan John Stevens

73y · Male·Aspiration pneumonia complicating sigmoid volvulus in a man with Down syndrome

…with Down syndrome and dysphagia have increased aspiration risk, particularly when experiencing acute gastrointestinal obstruction with respiratory symptoms. Early recognition and appropriate management of sigmoid volvul…

general medicinegastroenterologyceftriaxone

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