Coronial

46 results for bowel resection

VICaged care2018-08-21

Finding into death of Stephen Ross Wakefield

66y · Male·Complications of metastatic colorectal cancer (palliated)

…, died from complications of metastatic colorectal cancer receiving palliative care. He was diagnosed with bowel cancer in 2015, which metastasised to his liver by late 2016. After deciding against chemotherapy due to p…

palliative careoncology
TAShospital2018-05-30

Coroner's Finding: Forward, Trudi Maree

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

…ng surgery locally. Surgery began at 7:06 PM on 20 August (40 hours after onset). Despite thrombectomy and bowel resection, the patient developed extensive small bowel necrosis and died on 27 August from sepsis and mult…

emergency medicinegeneral surgerydiagnosticdelay
NSWhospital2012-06-14

Beverly ann murphy finding & recommendations 0701 08

70y · Female·Hypoxic/Ischaemic Encephalopathy consequent upon Cardiorespiratory Arrest and Co…

…inoma on 2 April 2008 at Royal Hospital for Women. The complex surgery was complicated by iatrogenic small bowel perforations. Post-operatively, wound dehiscence and bowel obstruction developed, requiring return to thea…

gynaecologyoncologydiagnosticcommunication
VIChospital2020-09-29

Finding into death of Nicola Deleo

91y · Male·Complications following cardiac arrest in the setting of anaesthetic induction d…

…ed from complications following anaphylaxis to rocuronium during anaesthetic induction for emergency small bowel obstruction surgery. His GP records documented allergy to both suxamethonium and vecuronium (a non-depolar…

anaesthesiageneral surgerycommunicationsystemrocuronium
NThospital2018-09-21

Inquest into the death of David Fensom

67y · Male·multi-organ failure due to septic shock consequent on faecal peritonitis due to …

…d abdominal pain post-operatively. A laparoscopy on 8 October misinterpreted findings and missed ischaemic bowel—a critical diagnostic error. The expert review identified a 48-hour delay before appropriate laparotomy on…

general surgeryemergency medicinediagnosticcommunicationfentanyl
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…

…haemic cardiomyopathy. He had a complex medical history including viral myocarditis, previous intestinal resection with colostomy, and recurrent heart failure admissions. His condition was significantly compromised by p…

cardiologyintensive carewarfarin
SAhospital2013-09-30

Coroner's Finding: GIANNINI Pasquale

68y · Male·infarction of the small and large bowel due to superior mesenteric artery thromb…

…a. By the time mesenteric ischaemia was suspected the following morning and imaging arranged, irreversible bowel necrosis had occurred. The coroner found that earlier recognition of mesenteric ischaemia as a differentia…

general practiceemergency medicinediagnosticdelayaugmentin duo
TAShospital2021-08-26

Coroner's Finding: PY

0y · Unknown·sepsis leading to multiple organ failure syndrome

…rar was not called until 5.00pm, causing critical delays in diagnosis and treatment of sepsis secondary to bowel obstruction. The child's congenital heart condition may have distracted clinicians from recognising the ac…

paediatricsemergency medicinediagnosticdelayparacetamol
VIChospital2014-08-27

Finding into death of Robert Vivian Hawkins

55y · Male·Multi-system failure complicating intra-operative haemorrhage due to inadvertent…

…Although he recognized the error and converted to open surgery, requesting senior surgical assistance, the bowel became ischaemic. The patient was transferred to Albury Hospital ICU then St Vincent's Hospital where vasc…

urologygeneral surgerydiagnosticprocedural
SAhospital2020-12-18

Coroner's Finding: ANKER Paul Eugene

53y · Male·metastatic carcinoma of the rectum (operated)

…from metastatic rectal carcinoma at the Queen Elizabeth Hospital. He had been appropriately diagnosed with bowel cancer in 2016 whilst in custody and underwent surgery, chemotherapy, and radiotherapy. Despite initial tr…

oncologycolorectal surgerydexamethasone
SAhospital2011-08-05

Coroner's Finding: LEONARD Emily Ruth and HILLMAN Glenys Anne

Female·Emily Ruth Leonard: multi-organ failure due to overwhelming sepsis from a perfor…

…men died following vaginal prolapse surgery performed by the same surgeon, Dr O., with similar mechanisms: bowel perforation leading to peritonitis and sepsis. Mrs Leonard (77) underwent laparoscopic surgery on 30 Octob…

gynaecologyintensive carediagnosticproceduralheparin
VIChospital2016-06-24

Finding into death of Wendy Elizabeth Pennycuick

65y · Female·Aspiration pneumonia following emergency laparotomy for incarcerated umbilical h…

A 65-year-old woman with intellectual disability, congenital blindness, diabetes, and epilepsy presented with an incarcerated umbilical hernia requiring emergency surgery. Post-operative aspiration occurred in recovery w…

colorectal surgeryintensive care
VIChospital2024-11-22

Finding into death of RD Z

11y · Male·complications of bowel obstruction in the setting of chronic constipation

RDZ was an 11-year-old Aboriginal boy who died from complications of bowel obstruction secondary to chronic constipation with a fecalith. He had been under paediatric care for years…

gastroenterologypaediatric surgerydiagnosticcommunicationmacrogol
NSWhospital2015-06-16

Inquest into the death of Sean WAYGOOD

47y · Male·acute renal failure caused by bilateral ureteral obstruction due to metastatic c…

…r rectum in March 2011 but received suboptimal assessment. Two visiting medical officers failed to include bowel cancer in their differential diagnosis despite his symptoms and clinical findings. The coroner found this …

general practiceoncologydiagnostictramadol
VIChospital2018-05-28

Finding into death of Kevin Patrick O'Keeffe

82y · Male·Cardiomegaly, myocardial fibrosis and ischaemic coronary artery disease in the c…

…giodysplasia. Prolonged activation intervals during the final third of the procedure caused full-thickness bowel burns and colonic perforation, necessitating emergency surgery. He subsequently died from multi-organ fail…

gastroenterologysurgeryproceduralcommunicationnoradrenaline
TAShospital2015-11-27

Coroner's Finding: McManus, Pamela

75y · Female·large volume aspiration following right hemicolectomy for adenocarcinoma of the …

A 75-year-old woman with a 20-month history of iron deficiency anaemia was not investigated for its cause by her general practitioner despite clear clinical signs of deterioration. The coroner found this fell 'grossly sh…

general practicegeneral surgerydiagnosticcommunication
NSWhospital2022-03-25

Inquest into the death of Anthony Barrett

54y · Male·Bowel ischaemia resulting from acute thrombosis of superior mesenteric artery an…

Anthony Barrett died from bowel ischaemia caused by acute thrombosis of his superior mesenteric artery and coeliac artery stents post-oper…

orthopaedic surgeryvascular surgerycommunicationdiagnosticclopidogrel
WAhospital2013-01-17

Inquest into the Death of Aslett, Wendy May

60y · Female·Multiple organ failure following hemorrhage from penetration of the femoral arte…

Wendy May Aslett, aged 60, died on 29 October 2010 from multiple organ failure following hemorrhage from a femoral artery puncture sustained during coronary angiography on 21 October 2010. An Angio-Seal device was used t…

cardiologyemergency medicinediagnosticcommunicationprasugrel
QLDhospital2025-06-20

Inquest into the death of Christopher Glen Essery

74y · Male·Sepsis secondary to fistulating Crohn's disease and post-surgery complications f…

Christopher Essery, a 74-year-old man with complex fistulating Crohn's disease, died from sepsis following surgery on 24 January 2019. He was transferred to Princess Alexandra Hospital (PAH) on 31 August 2018 for special…

colorectal surgerygastroenterologysystemcommunication
VIChospital2010-06-23

Finding into death of Faye Gwynneth Lancashire

68y · Female·Presumed septic shock with multiple organ failure secondary to acute suppurative…

A 68-year-old woman died from septic shock and multi-organ failure secondary to acute suppurative appendicitis complicated by recent peritoneal adhesion division. Admitted on 31 March 2005 with acute abdominal pain, she …

general surgeryanaesthesiagelofusin

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