Coronial

212 results for bowel surgery

VIChospital2019-08-30

Finding into death of Agostino Cutugno

57y · Male·Small bowel perforation complicating small bowel obstruction arising from intra-…

… with intellectual disability (IQ 55) and history of self-inflicted abdominal stab wounds, died from small bowel perforation complicating obstruction due to intra-abdominal adhesions. Care was fragmented across five loc…

general surgeryintensive carecommunicationsystemproton pump inhibitors
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
VIChospital2013-01-22

Finding into death of Daryl Wayne Nankervis

64y · Male·Ischaemic bowel and spleen infarction secondary to occlusion of splenic artery a…

A 64-year-old man died from bowel and spleen infarction caused by surgical clips incorrectly placed on the splenic and superior mesenteric a…

urologysurgerydiagnosticprocedural
VIChospital2014-08-27

Finding into death of Robert Vivian Hawkins

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

…ft renal artery and applied insufficient clipping. Although he recognized the error and converted to open surgery, requesting senior surgical assistance, the bowel became ischaemic. The patient was transferred to Albury…

urologygeneral surgerydiagnosticprocedural
VIChospital2025-01-08

Finding into death of Winfried Medenbach

65y · Male·Middle cerebral artery stroke in a man with multiple medical co-morbidities

…nbach, a 65-year-old man with tuberous sclerosis, severe intellectual disability, epilepsy, and history of bowel complications, died from a middle cerebral artery stroke. He had been admitted to hospital in late October…

general surgeryinfectious diseaseshyoscine butylbromide
VIChospital2024-11-29

Finding into death of Michael King

59y · Male·Aspiration pneumonia secondary to recurrent anal squamous cell carcinoma with su…

…iration pneumonia secondary to recurrent anal squamous cell carcinoma following total pelvic exenteration surgery in December 2021. He was admitted to Dandenong Hospital with vomiting, lethargy and suspected urinary tra…

oncologyintensive care
VIChome2014-03-17

Finding into death of Marcus Michael Christopher Charles

0y · Male·Complications of small bowel obstruction due to post operative adhesions

Marcus Charles, a 3-month-old neonate, died from small bowel obstruction due to postoperative adhesions following earlier surgical repair of oesophageal atresia and du…

emergency medicineparamedicinediagnosticcommunicationranitidine
SAhospital2011-09-23

Coroner's Finding: BLYTHE Dorothy Josephine

81y · Female·ischaemic bowel

…09, her physical health acutely declined with shock-like symptoms. Emergency laparotomy revealed extensive bowel ischaemia deemed incompatible with life. She died the following morning. The coroner found her treatment d…

psychiatrygeneral surgerydiagnosticdelay
VIChospital2021-01-29

Finding into death of Robert Gerard Dimattina

58y · Male·Aspiration pneumonia complicating small bowel obstruction in the setting of rece…

A 58-year-old man died from aspiration pneumonia complicating small bowel obstruction six days after elective laparoscopic subtotal colectomy for colorectal cancer. On post-operati…

colorectal surgeryintensive care
TAShospital2023-04-03

Coroner's Finding: RS - de-identified

1y · Female·infarction and volvulus of the small intestine due to adhesion from prior nephre…

…he child was initially treated in the waiting area without documented observations for over 5 hours. Small bowel obstruction was suspected at 4:45am but imaging was delayed and initially appeared normal. Critical diagno…

emergency medicinepaediatricsdiagnosticsystem
VIChospital2020-03-17

Finding into death of Michael Davies

42y · Male·Aspiration pneumonia complicating small bowel ileus in a man with cerebral palsy

…to hospital with vomiting, abdominal distension and pain on 21 October 2019. Investigations revealed small bowel obstruction (ileus). Despite admission under General Medicine, his condition deteriorated rapidly, develop…

general medicineemergency medicine
SAhospital2005-06-03

Coroner's Finding: SORENSEN Ruth Bengta Maria

69y · Female·faecal peritonitis due to small bowel obstruction and perforation due to periton…

…diagnosis. She deteriorated rapidly and died at home the next morning from faecal peritonitis due to small bowel obstruction and perforation from peritoneal adhesions. The coroner found the standard of care was seriousl…

emergency medicinesurgerydiagnosticcommunicationprochlorperazine
QLDhospital2007-12-07

Burgen, Deborah Denise

49y · Female·Intra-abdominal haemorrhage, septic and haemorrhagic shock as a result of a lapa…

…orah Burgen died from intra-abdominal haemorrhage complicated by septic shock following delayed emergency surgery for bowel obstruction. She attended the emergency department six times over eleven days with identical sy…

emergency medicinesurgerydiagnosticdelayparacetamol/codeine
VIChospital2017-08-31

Finding into death of Kenneth Albert Hargreaves

70y · Male·Metastatic tumour in the setting of known renal and bowel cancer

Kenneth Albert Hargreaves, a 70-year-old man with extensive medical comorbidities including renal and bowel cancer, lymphoma, Parkinson's disease, and cardiac disease, died from metastatic tumour while imprisoned a…

palliative careorthopaedic surgery
VICaged care2024-01-11

Finding into death of Phyllis Joan Porter

72y · Female·Large rectal prolapse and ischaemic bowel

…an with intellectual disability residing in aged care presented with a large rectal prolapse and ischaemic bowel. She was found on the floor of her room with a prolapse containing approximately 80cm of non-viable small …

emergency medicinesurgeryfluoxetine
SAhospital2001-05-04

Coroner's Finding: ROACH Dawn Ruth

45y · Female·Multi-organ failure due to septicaemia and peritonitis due to faecal leakage fro…

…ti-organ failure following failure of a loop colostomy created for management of an anastomotic leak after bowel cancer surgery. The initial anastomotic leak (1.5 cm) was contained and reasonably managed conservatively.…

colorectal surgerygeneral surgeryproceduralcommunication
TAShospital2019-04-18

Coroner's Finding: Fulham, Julianne

58y · Female·Ischaemic small bowel due to bowel obstruction most likely due to a combination …

Mrs Fulham, aged 58, died from ischaemic small bowel due to obstruction from adhesions and Crohn's disease recurrence. On 22 November, she presented to GP with…

general practicegastroenterologydiagnosticcommunication
NSWhospital2021-05-25

Inquest into the death of Melvin LYNCH

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

…in custody at 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 dysfunctio…

colorectal surgerygeneral surgery
NSWhospital2024-05-10

Inquest into the death of Finlay Browne

16y · Male·mid-gut volvulus and bowel obstruction, leading to ischaemic bowel and related c…

…yed CT imaging interpretation, and failure to escalate to surgical consultation until 9pm resulted in his surgery commencing at 11:38pm. The 7+ hour delay meant extensive bowel had become ischaemic and non-viable. Altho…

emergency medicinesurgerydiagnosticcommunication
VIChospital2016-05-12

Finding into death of Kevin Stanley Margetts

63y · Male·Bowel obstruction

A 63-year-old man with severe intellectual disability, quadriplegia, and blindness died from bowel obstruction with sepsis. On 5 September 2015, carers noted cough and eating difficulties. A locum doctor v…

general practiceemergency medicinedelaysodium citrate enema

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