Coronial

56 results for CT scan abdomen

TASmental health2021-05-21

Coroner's Finding: Hanson, Sungwaan

64y · Female·stage IVB metastatic adenocarcinoma of the rectum

Sungwaan Hanson, a 64-year-old woman with a 35-year history of treatment-resistant schizophrenia, died from stage IVB metastatic adenocarcinoma of the rectum at the Roy Fagan Centre on 27 May 2020. She had been subject t…

psychiatrygeneral medicine
TAShospital2016-12-16

Coroner's Finding: Harrison, Jason Keith

34y · Male·sepsis due to extensive small bowel infarct caused by bowel incarceration within…

…cal decision was overly influenced by suspicion of illicit drug use rather than consideration of surgical abdomen pathology. By 2pm on 6 February, suspected bowel obstruction should have prompted transfer to North West …

emergency medicinegeneral practicediagnosticdelay
TAShospital2018-05-30

Coroner's Finding: Forward, Trudi Maree

53y · Female·sepsis and multiple organ failure attributable to infarction/necrosis of small b…

…actate, metabolic acidosis, leukocytosis, and severe pain, the diagnosis was not made for 25+ hours. The CT scan at 9:00 AM failed to identify the occluded SMA. The patient underwent a non-diagnostic laparoscopy at 6:00 …

emergency medicinegeneral surgerydiagnosticdelay
QLDhospital2021-02-24

Petzler, Dennis Michael

59y · Male·Carcinomatosis due to adenocarcinoma of the pancreas

Dennis Petzler, a 59-year-old prisoner, died from carcinomatosis due to adenocarcinoma of the pancreas with extensive metastatic spread. He presented with abdominal pain and nausea in June 2018, initially managed as gast…

oncologygeneral medicinedexamethasone
NSWhospital2019-03-01

Inquest into the death of Stephen Kline

51y · Male·Pulmonary thromboemboli due to deep vein thrombosis on a background of a leg bur…

Stephen Kline, a 51-year-old Aboriginal man, died from pulmonary thromboembolism due to deep vein thrombosis following a leg burn wound sustained when NSW Police deployed a taser during a confrontation on 8 March 2016. H…

plastic and reconstructive surgerypsychiatrydiagnosticsystemheparin
VIChospital2024-01-11

Finding into death of Michael Manuel Luno

66y · Male·Aspiration pneumonia in the setting of a small bowel obstruction

Michael Luno, a 66-year-old man with intellectual disability, autism, epilepsy, and swallowing difficulties, died from aspiration pneumonia complicating small bowel obstruction. He presented with vomiting and abdominal d…

emergency medicinegastroenterologycommunicationsystem
QLDhospital2011-06-10

Conlan, Kathleen Anne

70y · Female·Cardiac arrest caused by a combination of gastric haemorrhage and pneumonia exac…

…ed with severe epigastric pain and was appropriately admitted for investigation. Initial blood tests and CT scan showed no evidence of gastrointestinal bleeding. Her symptoms improved and she was discharged, but re-admit…

emergency medicinesurgerydelaymorphine
SAaged care2024-06-19

Coroner's Finding: Murphy, Phillip Robin

76y · Male·right lower lobe pneumonia on a background of frontotemporal dementia, chronic o…

A 76-year-old man with frontotemporal dementia, COPD, and osteoporosis died of right lower lobe pneumonia following multiple falls causing pelvic and rib fractures at a nursing home. He was admitted to hospital on 9 Febr…

geriatric medicinepalliative care
NThospital2018-06-19

Inquest into the death of Naomi Smith

26y · Female·Pulmonary embolism as a consequence of dislodged deep vein thrombosis

…y contributed to DVT formation. She was sedated and transferred to Darwin for specialist care. A delayed CT scan report did not affect outcome, as the massive PE (32cm saddle embolus) that killed her occurred later and w…

psychiatryintensive caresystemdelay
TAShospital2025-04-23

Coroner's Finding: Dow, Vicki Elizabeth

69y · Female·Multiple organ failure due to secondary haemochromatosis (transfusion-associated…

Mrs Vicki Dow, 69, died from multiple organ failure secondary to iron overload (transfusion-associated haemochromatosis) from treatment of myelodysplastic syndrome. She had declined iron chelation therapy for 19 months d…

haematologyemergency medicinecommunicationdiagnosticiron chelation therapy
NThospital2022-01-25

Inquest into the death of Josef Lear

80y · Male·metastatic oesophageal cancer

Josef Lear, an 80-year-old prisoner, died of metastatic oesophageal cancer at the Royal Darwin Hospital Hospice on 7 March 2021. He presented with progressive dysphagia, cough, and weight loss in mid-2020, which was appr…

oncologygastroenterologycommunicationsystemibuprofen
QLDaged care2025-04-17

Non-inquest findings into the death of Mr H.

89y · Male·combination of biochemical consequences of colonic pseudo-obstruction and faecal…

…thout significant bowel opening, nursing and medical staff did not escalate care or adequately assess his abdomen after 4 March 2022. He was on opioid analgesia and medications causing constipation, but laxative regimen…

geriatric medicinegeneral practicediagnosticcommunicationmacrogol
VIChospital2013-11-18

Finding into death of Sean Raymond Adams

51y · Male·Multiorgan failure in a man with corrected congenital coarctation of the aorta a…

Sean Raymond Adams, 51-year-old male with complex cardiac history including corrected coarctation of aorta, valvular disease, and biventricular heart failure, presented to Alfred Hospital ED with chest pain and dyspnoea.…

cardiologyemergency medicinecommunicationsystemhaloperidol
VIChospital2022-02-28

Finding into death of H YR

77y · Female·Haemoperitoneum following cholecystectomy

A 77-year-old woman died from haemoperitoneum (intra-abdominal bleeding) three days after elective laparoscopic cholecystectomy. Bleeding from the left inferior epigastric artery was a recognised surgical complication bu…

general surgeryintensive carediagnosticdelaywarfarin
SAhospital2008-06-06

Coroner's Finding: AUSTIN Grant Aaron

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…

general medicinepsychiatrycommunicationdiagnostictrimethoprim
VIChospital2026-02-27

Finding into death of PDR

78y · Male·Acute pancreatitis

A 78-year-old man with a long history of mental illness and multiple chronic physical conditions died from acute pancreatitis on 12 May 2025, nine days after presenting with nausea and vomiting at Thomas Embling Hospital…

emergency medicinepsychiatryolanzapine
SAhospital2005-02-01

Coroner's Finding: WALPOLE Gary Frederick

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…

gastroenterologyhaematology
TAShospital2024-10-10

Coroner's Finding: Hill, James Fredrick

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

A 74-year-old man presented to hospital with abdominal pain following a fall. He developed hypotension, fever, tachycardia, and elevated inflammatory markers consistent with sepsis within hours of admission. Despite clea…

emergency medicineorthopaedic surgerydiagnosticcommunication
TAShospital2017-05-19

Coroner's Finding: Smith, James Maurice

38y · Male·haemopericardium (pericardial tamponade) due to aortic dissection

James Maurice Smith, 38-year-old male, died from haemopericardium due to aortic dissection. He presented to ED on 9 June 2015 with severe back and abdominal pain, elevated lactate, and neurological symptoms suggesting va…

emergency medicinegeneral surgerydiagnosticcommunicationondansetron
NSWhospital2020-11-27

Inquest into the death of Makushla NIKOLAEVSKY

43y · Female·pulmonary embolism

…ved. She collapsed the next morning with massive bilateral pulmonary embolism. Coroner found the failure to scan above the inguinal ligament was not unreasonable given the rare clinical presentation, though vascular surg…

gynaecologyvascular surgerydiagnosticpossibly proceduralenoxaparin

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