266 results
62y · Female·gastric necrosis and perforation due to strangulated diaphragmatic hernia
Joyce Wilman, 62, died from gastric necrosis and perforation due to strangulated para-oesophageal hernia whilst detained under Mental Health Act at Queen Elizabeth Hospital. She presented with vomiting and abdominal pain…
41y · Male·end-stage liver disease and pneumonia
Hans Heinrich von Spreckelsen, aged 41, died of end-stage liver disease and pneumonia while detained under the Mental Health Act at Flinders Medical Centre. He had hepatitis C and alcohol abuse history, with severe hepat…
64y · Male·hospital-acquired pneumonia on a background of end-stage cryptogenic liver cirrh…
Peter Langford, aged 64, died of hospital-acquired pneumonia complicated by end-stage cryptogenic liver cirrhosis after a 43-day admission to Flinders Medical Centre. He presented with severe cellulitis requiring amputat…
62y · Male·Acute Gastrointestinal Haemorrhage in association with Acute on Chronic Peptic U…
Kenneth Charles Fox, 62, presented to Fremantle Hospital ED on 12 April 2006 with a gastrointestinal bleed after fainting. He was diagnosed with a massive bleed causing hypovolaemic shock and stabilized with fluid resusc…
29y · Male·aspiration pneumonia complicating acute and chronic Wernicke's encephalopathy an…
Grant Austin, a 29-year-old man with intellectual disability and morbid obesity, died from aspiration pneumonia complicating Wernicke's encephalopathy. He presented with prolonged refusal to eat and drink from December 2…
65y · Female·gastrointestinal haemorrhage from duodenal ulcer
Margaret Bodell, 65-year-old with severe COAD and emphysema, was admitted with respiratory failure and developed a duodenal ulcer bleeding during hospitalisation. Critical clinical lessons include: (1) careful oxygen man…
60y · Female·Cardiac tamponade due to ruptured heart due to total parenteral nutrition due to…
A 60-year-old woman died from cardiac tamponade caused by TPN fluid leaking into the pericardium through a PICC line inserted to provide nutrition following bowel surgery. The PICC line was inserted under image intensifi…
83y · Female·cardiac arrest from severe triple vessel coronary artery disease complicated by …
Margaret Isabel Horsington, aged 83, died from cardiac arrest secondary to severe coronary artery disease, complicated by large bowel obstruction from rectal carcinoma. She presented to Roma Hospital with constipation an…
68y · Male·Internal haemorrhage due to coagulopathy and upper gastrointestinal varices, cir…
Robert Donald Rawson, a 68-year-old man with end-stage cirrhosis and multiple comorbidities, died hours after undergoing intercostal catheter insertion for pleural effusion drainage at Rockhampton Hospital. While the pro…
45y · Male·Intra Abdominal Haemorrhage Associated with Metastatic Carcinoma of the Oesophag…
Reginald Brian O'Neill, a 45-year-old sentenced prisoner at Karnet Prison Farm, died from intra-abdominal haemorrhage associated with metastatic oesophageal carcinoma on 6 December 2003. In late November 2003, he present…
49y · Male·small intestinal infarction due to mesenteric and portal vein thrombosis associa…
Gary Walpole, a 49-year-old teacher with polycythaemia rubra vera, died from small intestinal infarction due to mesenteric and portal vein thrombosis. He was admitted to Royal Adelaide Hospital with oesophageal varices f…
67y · Female·perforated gastric ulcer; morphine toxicity also made a significant contribution
Mrs Lillian Shaw, a 67-year-old obese woman with a history of NSAID use, presented with vomiting and abdominal pain over 36 hours. A GP visited three times without performing adequate physical examination, failed to insp…
44y · Male·cardiac arrhythmia in a man with liver failure due to cirrhosis and focal corona…
Michael John Herrick, a 44-year-old prisoner with end-stage liver cirrhosis secondary to hepatitis C and alcohol abuse, died from cardiac arrhythmia at Sir Charles Gairdner Hospital. He had been receiving aggressive trea…
57y · Male·aspiration pneumonia secondary to small bowel obstruction
A 57-year-old man with chronic schizophrenia, intellectual disability, and history of bowel obstruction presented with faecal vomiting and signs of shock. He was appropriately transferred to hospital where small bowel ob…
34y · Male·extensive blood loss from acute gastric erosions following severe scalding of th…
Neil Summerell, a 34-year-old man with intellectual disability, epilepsy, and vision/hearing impairment, died from acute gastric erosions following severe scalding injuries sustained on 29 November 1999. He was scalded t…
38y · Female·peritonitis with septic shock secondary to perforation of the gastrointestinal t…
A 38-year-old woman in persistent vegetative state following anoxic encephalopathy from anaphylaxis during surgery died from peritonitis caused by perforation at the gastrostomy stoma site. The perforation likely occurre…
30y · Male·Hypertrophic Cardiomyopathy
Gary John Holcroft, a 30-year-old prisoner at Casuarina Prison Complex, died on 19 September 2001 from Hypertrophic Cardiomyopathy. He had a known heart murmur since childhood and Hepatitis C, and was noted to have eleva…
67y · Male·cancer of the stomach with metastasis liver
A 67-year-old man serving a life sentence died of metastatic stomach cancer in hospital. He was diagnosed with terminal gastric cancer in April 2000 and underwent a palliative gastric bypass procedure. Due to inability t…
72y · Female·haemorrhage from penetrating duodenal ulcer
A 72-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 a…
26y · Female·cardiorespiratory arrest due to massive gastric dilatation with gastric rupture
Assunta Petroccia, a 26-year-old woman, died from cardiorespiratory arrest due to massive gastric dilatation with rupture following a bulimic episode. She presented to hospital with severe abdominal pain and was incorrec…
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