Coronial

62 results for CT scan post mortem

VIChome2023-02-27

Finding into death of Baby A

0y · Unknown·Unascertained

…sk factors including prematurity, low birthweight, co-sleeping arrangements, soft bedding, and prenatal and postnatal smoke exposure. Post-mortem toxicology revealed exposure to multiple illicit drugs (MDMA, methamphetam…

paediatricspathologyMDMA
VIChospital2014-05-01

Finding into death of Bassillios Byron Pantazis

68y · Male·Metastatic gastro-oesophageal adenocarcinoma

Bassillios Byron Pantazis, a 68-year-old man in custody at Port Phillip Prison, died from metastatic gastro-oesophageal adenocarcinoma. He had multiple comorbidities including ischaemic heart disease, diabetes, and chron…

oncologypalliative care
QLDhospital2007-10-30

Noffke, Veronica Margaret

73y · Female·coronary atherosclerosis

…er severe coronary artery disease and thrombotic risk. The haematoma was difficult to detect clinically and post-mortem analysis confirmed bleeding occurred after transfer from ICU. The coroner found no fault in medical …

emergency medicineintensive careanticoagulants
QLD2013-12-06

Sims, Desmond Arthur

62y · Male·Non-small cell lung carcinoma with metastases

…tment scheduled for 19 February 2009 was never correctly entered into the tracking spreadsheet, and the PET scan results were not communicated in a manner that would prompt clinical review. When Mr Sims re-engaged with h…

respiratory medicineoncologysystemcommunication
VICaged care2025-10-13

Finding into death of Gary Norman Rogers

70y · Male·Complications of cerebral palsy with Covid-19 infection as a contributing factor

… and reduced oral intake. In consultation with family, he was appropriately transitioned to comfort care. A post-mortem CT scan incidentally identified a large abdominal mass favouring malignancy. The death was from natu…

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
WA2024-12-23

Inquest into the Death of Frank MIKHAIL

68y · Male·bronchopneumonia in a man with carcinoma in the lung and chronic obstructive pul…

…ospital reassessment; (6) cognitive bias from previous similar presentations may have masked new pathology. Post-mortem revealed lung carcinoma with haemorrhagic lesion. Earlier admission, CT imaging, and/or hospital rea…

respiratory medicineemergency medicinediagnosticcommunicationamitriptyline
ACThospital2018-01-30

AN INQUEST INTO THE DEATH OF ROBERT DOUGLAS

67y · Male·respiratory failure with antecedent causes including chronic emphysematic lung d…

67-year-old male with 40-year smoking history presented with chest symptoms in 2012. CT scan revealed a left upper lobe mass. Core biopsy was incorrectly reported as adenocarcinoma by the pathologist,…

respiratory medicinepathologydiagnosticsystemenoxaparin
NSWhospital2021-05-25

Inquest into the death of Melvin LYNCH

72y · Male·Complications of subtotal colectomy for diffuse polyposis and invasive adenocarc…

… Prince of Wales Hospital on 9 December 2019, nine days after elective subtotal colectomy for bowel cancer. Post-operatively, he developed complications including pleural effusion and multi-organ dysfunction. Following d…

colorectal surgerygeneral surgery
NSWhome2023-04-26

Inquest into the death of AX

70y · Female·Cause of death could not be determined - available evidence does not allow a fin…

A 70-year-old woman died unexpectedly at home in August 2017. Initially certified as hypertensive heart disease without autopsy, the death was later investigated as a potential homicide following allegations by her forme…

forensic medicinecardiologysystemdelaycandesartan
VICaged care2025-02-12

Finding into death of Donald Walter Thoms

90y · Male·Complications following aspiration of food

Donald Walter Thoms, 90 years old with intellectual disability and high aspiration risk, died from complications following aspiration of food while in specialist disability residential care. He was on a pureed diet and t…

palliative careemergency medicine
VICaged care2013-03-12

Finding into death of Jonathan Paul Tozer

48y · Male·Multiple injuries in a pedestrian struck by a bus

Jonathan Tozer, a 48-year-old man with intellectual disability and a documented history of absconding, was struck by a bus while at his day service facility. Despite close supervision by staff, he absconded from the Witt…

trauma surgerycardiothoracic surgery
QLDhospital2010-03-05

Hockey, Barry John

58y · Male·adenocarcinoma of the right lung

…evealed extensive lymphatic spread and secondary changes. Elevated oxycodone and paroxetine levels detected post-mortem were not considered to have contributed to death. The coroner found no deficiencies in medical care …

respiratory medicineoncologyoxycodone
WA2016-09-29

Inquest into the Death of Troy Allan ROGINSON

35y · Male·head injury in a man with chronic liver disease

A 35-year-old male prisoner with chronic hepatitis C cirrhosis and thrombocytopenia died from traumatic brain injury sustained during an unprovoked assault by another prisoner. A single punch caused him to fall backward …

neurosurgeryemergency medicinemethadone
QLDhospital2014-11-03

Proberts, Mark William

52y · Male·Acute coronary syndrome caused by coronary artery embolus secondary to infective…

Mark Proberts, a 52-year-old man with multiple chronic conditions (diabetes, liver disease, hypertension), died in hospital from acute coronary syndrome secondary to infective endocarditis. He was transferred from correc…

emergency medicineintensive carepenicillin
WA2015-02-24

Inquest into the Death of Valfrids KLAVINS

65y · Male·complications of mesothelioma

…ssing left-sided mesothelioma with poor prognosis. Despite palliative chemotherapy, the disease progressed. Post-mortem revealed extensive mesothelioma, bronchopneumonia, and Staphylococcus aureus infection. An independe…

general practicecardiology
VIChospital2026-03-19

Finding into death of Richard Watson

62y · Male·Aspiration pneumonia complicating epilepsy in the setting of Down syndrome

Richard Watson, a 62-year-old man with Down syndrome, epilepsy, dementia and C1 partial quadriplegia, died from aspiration pneumonia at Austin Hospital. He had recurrent admissions over six months for pneumonia, asthma a…

emergency medicinerespiratory medicine
VICcommunity2026-04-13

Finding into death of Nikki Maree Francis

40y · Female·Complications of influenza A infection in a woman with Moebius syndrome (palliat…

A 40-year-old woman with Moebius syndrome, cerebral palsy and intellectual disability died from complications of influenza A infection. She resided in specialist disability accommodation with 24/7 support. On 3 July, she…

emergency medicineinfectious diseases
VIC2023-01-09

Finding into death of Andrew John Martin

57y · Male·Aspiration pneumonia complicating large bowel volvulus in a man with chronic dys…

…na Health for observation before returning to disability accommodation. His swallowing was further impaired post-illness. He developed aspiration pneumonia on day 20 of admission and died receiving comfort-focused care c…

general surgerypalliative care
VIChospital2023-04-18

Finding into death of James Bernard Williamson

54y · Male·hypoglycaemic encephalopathy complicating multiple injuries in a man with chroni…

James Williamson, a 54-year-old man with diabetes, chronic lung disease, and ischaemic heart disease, died from hypoglycaemic encephalopathy following multiple traumatic injuries. He was found unresponsive in his apartme…

intensive careneurologymethamphetamine

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