Coronial

31 results for intestinal failure

VIChospital2021-07-19

Finding into death of Pamela Mary Bell

63y · Female·Aspiration of gastric contents and acute renal failure complicating intestinal p…

…d with carbamazepine, and chronic hyponatraemia, died from aspiration of gastric contents and acute renal failure complicating intestinal pseudo-obstruction. She presented with acute hyponatraemia and confusion on 30 Oc…

neurologygeneral medicinecarbamazepine
SAhospital2004-02-13

Coroner's Finding: CUCUK Radomir

38y · Male·multi organ failure secondary to intestinal ischaemia from toxic megacolon relat…

A 38-year-old man with chronic schizophrenia died from multi-organ failure secondary to intestinal ischaemia caused by toxic megacolon from severe constipation. He was a detained p…

psychiatryemergency medicineclozapine
SAaged care2016-08-22

Coroner's Finding: SCHULZ Bertha Anna

89y · Female·Multiple organ failure with cachexia on a background of chronic lower limb ulcer…

…ar-old woman with chronic venous leg ulcers complicated by squamous cell carcinoma died of multiple organ failure in a nursing home. She had been under guardianship following hospitalization in January 2013 for deterior…

geriatric medicinegeneral medicine
VIChospital2019-06-17

Finding into death of Baby L

0y · Female·OEIS Complex (Omphalocoele, Exstrophy of Cloaca, Imperforate Anus, Spinal Defect…

…. The defect was incompatible with life—the large abdominal wall defect caused lethal fluid losses, renal failure, intestinal failure, and sepsis risk. Surgical repair was deemed impossible due to defect size, and even …

neonatologypaediatric surgery
SAhospital2016-09-29

Coroner's Finding: MCSHANE Robert Ian

66y · Male·Multi-system failure and ischaemic gut after left nephrectomy complicated by mas…

A 66-year-old man died from multi-system failure and ischaemic bowel following laparoscopic left nephrectomy complicated by massive haemorrhage and vascul…

urologyvascular surgeryproceduralsurgical judgment
TAShospital2024-10-10

Coroner's Finding: Hill, James Fredrick

74y · Male·small intestinal ischaemia caused by aortic atherosclerosis

…chaemic bowel was not diagnosed until 9pm when he was critically ill with septic shock and multiple organ failure. By then, his entire small intestine was dead and surgery could not save him. Key failures included: not …

emergency medicineorthopaedic surgerydiagnosticcommunication
WAhospital2022-03-28

Inquest into the Death of Morgan John EDWARDS

31y · Male·Complications in association with intestinal volvulus

…res following discharge. When finally re-admitted the following afternoon, he was critically unwell with intestinal volvulus, sepsis and pneumonia. He died despite emergency surgery preparation. Key failures included: ab…

emergency medicinegastroenterologydiagnosticcommunication
WAhospital2016-10-24

Inquest into the Death of David WAYMOUTH

47y · Male·Multi organ failure and sepsis complicating ulcerating colitis and intestinal ob…

…eam care including ICU management and emergency colectomy, he developed peritoneal sepsis and multi-organ failure. The coroner found no deficiency in medical care provided during imprisonment or hospitalization. Post-op…

orthopaedic surgerygeneral surgerymethadone
WAhospital2023-06-29

Inquest into the Death of Child R (Name Subject to Suppression Order)

11y · Female·Complications of E. coli sepsis in association with intestinal obstruction due t…

…017 with severe abdominal pain and vomiting. She died 12 hours later from E. coli sepsis associated with intestinal obstruction due to faecal impaction of megacolon. Critical delays in management included: a three-hour d…

paediatricsemergency medicinediagnosticcommunicationmacrogol
NSWhospital2019-03-22

Inquest into the death of Patrick THOMAS

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 laparos…

colorectal surgeryintensive carecommunicationsystem
SAhospital2003-03-28

Coroner's Finding: BUTLER Irene

72y · Female·haemorrhage from penetrating duodenal ulcer

…year-old woman collapsed at home and was admitted with black bowel motions (melaena) suggestive of gastrointestinal bleeding. This crucial history was documented by the ED doctor but not properly acted upon by the admitt…

emergency medicinegeneral medicinediagnosticcommunicationaspirin
SAaged care2013-11-29

Coroner's Finding: BETTS Lawrence

9y · Male·sigmoid volvulus

Lawrence Betts, a 9-year-old Aboriginal boy with Goldenhar syndrome and developmental disability including pica (ingesting foreign substances), died from sigmoid volvulus complicated by ingestion of soil, sand, and stone…

paediatricsgastroenterologysupervisionsystem
WAhospital2020-12-01

Inquest into the Death of Tahlia Rose BEMBRIDGE

4y · Female·volvulus of the large intestine

…ing RFDS transfer, she deteriorated acutely with septic shock. Post-mortem revealed caecal volvulus with intestinal ischaemia. The coroner found care was reasonable given circumstances but identified that more frequent o…

paediatricsemergency medicinecommunicationdelay
VIC2014-12-09

Finding into death of Ling Gong Tang

53y · Male·decompensated alcoholic liver disease in the setting of gastro-intestinal haemor…

… man with advanced alcoholic liver disease (Child-Pugh C) died of decompensated liver disease with gastrointestinal haemorrhage. He was arrested for drunk in public place, lodged in police cells, and released in a deteri…

emergency medicinehepatologycommunicationdelayalcohol
SAhospital2020-06-18

Coroner's Finding: THOMPSON Wayne Robert McInnes

33y · Male·Multi-organ failure due to sepsis on a background of severe ischaemic cardiomyop…

Wayne Robert McInnes Thompson, aged 33, died from multi-organ failure due to sepsis complicated by severe ischaemic cardiomyopathy. He had a complex medical history including …

cardiologyintensive carewarfarin
WAhospital2020-10-08

Inquest into the Death of Wayne Frederick LEESE

54y · Male·Complications including hepatic encephalopathy, pneumonia and multi-organ failur…

…s of hepatitis C and hepatocellular carcinoma including hepatic encephalopathy, pneumonia and multi-organ failure. He collapsed at Acacia Prison on 4 May 2018 with seizures and was rapidly transferred to St John of God …

hepatologyemergency medicinemethadone
WAhospital2013

Inquest into the Death of Zappacosta, Palmerino

86y · Male·Sepsis associated with a pericolic abscess, complicated by terminal large intest…

…fe-sentenced prisoner died from sepsis associated with a pericolic abscess complicated by terminal gastrointestinal haemorrhage. He had extensive comorbidities including bilateral amputations, cardiac failure, and respir…

emergency medicinegeneral medicinevenlafaxine
VIChospital2011-05-18

Finding into death of Hannah Paige Pain Fowler

11y · Female·Sepsis due to acute peritonitis secondary to perforated gangrenous acute appendi…

…d did not seek medical attention despite considering appendicitis as a possibility. The coroner found the failure to obtain prompt medical assessment for a sick child with persisting symptoms was the key preventable fac…

paediatricsemergency medicinediagnosticdelayparacetamol
NSW2019-10-25

Inquest into the death of Ossama Al Refaay

34y · Male·acute methamphetamine toxicity from ingested balloons that burst or dissolved in…

…ound that systemic gaps in detecting contraband introduced via visits contributed to this death. Critical failures included: lack of alert flagging after a previous failed smuggling attempt in January 2016; insufficient…

forensic medicinecorrectional healthsystemcommunicationmethamphetamine
VIC2016-12-20

Finding into death of Finding Cain Douglas Ernest Hutchinson

21y · Male·Methylamphetamine toxicity

…lled balloon transferred to him during a contact visit by his partner. The balloon ruptured in his gastrointestinal tract, causing fatal toxic effects. The case highlights systemic gaps in prison security and drug interd…

emergency medicineforensic medicinesystemcommunicationmethamphetamine

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