Coronial

57 results for post-operative bleeding

VIChospital2022-10-18

Finding into death of Kenneth Ernest O'Brien

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

… drained. Postoperatively, 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 …

general surgeryanaesthesiadiagnosticcommunicationapixaban
VIChospital2016-09-15

Finding into death of Bernas Hasibuan

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

… post-surgery, he developed repeated episodes of hypotension, declining haemoglobin, and gastrointestinal bleeding that were not appropriately escalated. Critical failures included: non-activation of MET calls when systo…

general surgeryintensive carediagnosticcommunication
QLDhospital2007-10-29

Cvitic, Nardia Annett

30y · Female·Multi-organ failure due to multiple transfusions required for post-operative ble…

… W. performed emergency laparotomy via midline incision, found 1-1.5 litres of 'old blood' but no obvious bleeding source. Rather than continuing systematic exploration of the abdomen via the original transverse incision…

oncologygeneral surgerydiagnosticmedicationheparin
WAPodcast2015-02-09

Inquest into the Death of Myosotis Julianna MORIARTY

68y · Female·acute gastrointestinal haemorrhage secondary to bilateral dental extraction

…tablished with certainty, the coroner found the management deficient. The dentist provided only verbal post-operative instructions to an anxious patient in a high-risk category, without written instructions emphasizing b…

dentistrygeneral practicediagnosticcommunicationwarfarin
SAhospital2016-09-01

Coroner's Finding: CALLAGHAN Brian Francis

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

…h ischaemic heart disease and dementia fell at home, sustaining a left hip fracture requiring surgery. Post-operatively, he developed hospital-acquired pneumonia, upper gastrointestinal bleeding from a duodenal ulcer, ac…

general surgeryorthopaedic surgery
VIChome2014-04-17

Finding into death of Rodney Mark Moore

45y · Male·Sudden death of unascertained cause, occurring eight days after laparoscopic cho…

… found approximately 1 litre of blood in the peritoneal cavity. Pathologists could not determine when the bleeding occurred or definitively establish that this volume of blood caused death in an otherwise healthy 45-year…

general surgeryanaesthesiaesomeprazole
VIChospital2012-12-14

Finding into death of Jeanette Brown

66y · Female·Multi-organ failure associated with haemorrhage and sepsis following cholecystec…

Mrs Jeanette Brown, 66, died from multi-organ failure following post-operative haemorrhage after elective laparoscopic cholecystectomy. Arterial clips applied to the cystic artery d…

general surgeryanaesthesiaproceduralcommunicationamlodipine
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…

…or renal carcinoma. Autopsy revealed approximately 900ml of clotted blood in the stomach and bowel from a bleeding duodenal ulcer, with no complications directly attributable to the surgical procedure. The coroner found …

surgerypathology
SAcommunity2017-12-18

Coroner's Finding: WILSON Jason

40y · Male·drowning

…. He had recently undergone major abdominal surgery (partial gastrectomy, pancreatic duct stenting) for a bleeding duodenal ulcer two months prior and was discharged with active drains still in situ. Medical evidence sug…

general surgerygastroenterology
VIChospital2013-08-15

Finding into death of William John Colhoun

71y · Male·Multi organ failure due to post-operative bleeding following endoluminal thoraci…

…f thoracic-abdominal aortic aneurysm at St Vincent's Private Hospital on 1 December 2008. He developed post-operative instability with hypotension, metabolic acidosis, acute renal failure and coagulopathy. Re-angiography…

vascular surgeryradiologycommunication
VIChospital2018-10-18

Finding into death of Maxwell Norman Campbell

68y · Male·pulmonary thromboembolism in the setting of recent surgery

…died from pulmonary thromboembolism following revisional gastric bypass surgery. He developed multiple post-operative complications including fever, elevated inflammatory markers, and a possible bowel perforation requiri…

bariatric surgerygeneral surgeryheparin
WAhospital2018-06-14

Inquest into the Death of Anne RZEPCZYNSKI

59y · Female·complications of intra-abdominal sepsis, including multi-organ failure and bowel…

…f 20 days between stent insertion and operation (affecting bile duct inflammation and infection risk); post-operative complications of arterial bleeding requiring re-operation; bile leak from anastomoses; conservative ma…

general surgeryintensive carediagnosticdelayantibiotics
ACThospital2010-05-31

Inquest Into The Death Of Valerie Kolts

Female·retroperitoneal blood loss in a setting of anticoagulation therapy following hip…

…. This case illustrates the challenge of recognising uncommon complications of anticoagulation therapy post-operatively and the difficulty of attributing preventability when outcomes are uncertain despite recognised symp…

orthopaedic surgeryanaesthesiaanticoagulant
TAShospital2021-11-29

Coroner's Finding: Bennett, Anthony George

77y · Male·shock due to bowel ischaemia following massive blood loss due to bleeding of the…

…inal aortic aneurysm repair. The initial surgery was technically difficult but performed uneventfully. Post-operative bleeding required transfusion and ICU admission. Despite appropriate re-look surgery and management, b…

vascular surgerycardiology
QLDhospital2017-05-24

PG - Non-inquest findings

75y · Male·left retroperitoneal haemorrhage associated with lumbar spine surgery

…itive impairment underwent two-stage lumbar spine surgery for degenerative disc disease with stenosis. Post-operatively, he developed a retroperitoneal haemorrhage which was not identified until 6 days after surgery. An …

neurosurgeryintensive carediagnosticdelayheparin
QLDhospital2015-07-08

Hamilton, Michael John - Non-inquest findings

72y · Male·Multiple organ failure due to sepsis caused by abdominal adhesions from previous…

… from ICU on post-op day 1 despite elevated lipase and pancreatitis indicators; (3) heparin recomenced post-operatively despite increased intra-operative bleeding; (4) these factors may have contributed to subsequent int…

surgeryintensive carediagnosticsystemwarfarin
QLDhospital2019-09-03

Mr DAC - Non-inquest findings

51y · Male·Sepsis due to or as a consequence of right lower limb necrotising fasciitis due …

…tient with multiple comorbidities and anticoagulation; (2) failure to recognise and act on post-procedure bleeding complications—a competent cardiologist should have performed urgent ultrasound imaging on 11 May to exclu…

cardiologyvascular surgerydiagnosticproceduralpazopanib
NThospital2004-01-16

Inquest into the death of Souzana Afianos

41y · Female·secondary haemorrhage following gastric banding surgery

…e eight days after laparoscopic gastric banding surgery in Darwin. She attended ED on 18 February with post-operative pain; Dr McNair discharged her after two hours without contacting her surgeon. She consulted another d…

general surgeryemergency medicinecommunicationsystemparacetamol/codeine
WAhospital2021-03-26

Inquest into the Death of Cyril CHURCHILL

68y · Male·surgical complications following laparoscopic cholecystectomy for cholecystitis,…

…atively, he developed profound hypotension. The treating team disagreed on whether the cause was internal bleeding or sepsis. A diagnosis of bleeding should have been reached earlier based on clinical signs, blood test r…

general surgeryanaesthesiadiagnosticcommunication
TAShospital2018-12-05

Coroner's Finding: Suckling, James William

72y · Male·hypovolemic shock due to haemoperitoneum following surgical repair of an abdomin…

… man died from hypovolemic shock due to intra-abdominal haemorrhage following Spigelian hernia repair. Post-operatively he presented with hypotension, bradycardia and sweating. ECG changes were misinterpreted as ST-eleva…

surgeryemergency medicinediagnosticcommunicationmetaraminol

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