31 results for “intestinal failure”
45y · Male·Intra Abdominal Haemorrhage Associated with Metastatic Carcinoma of the Oesophag…
…. At hospital, he was initially treated for suspected pulmonary embolus with heparin, which caused gastrointestinal haemorrhage. Advanced metastatic cancer with poor prognosis was confirmed. He died in early December wit…
73y · Male·sepsis due to ischemic gut due to occlusion of the superior mesenteric artery
A 73-year-old man presented with acute severe abdominal pain caused by superior mesenteric artery (SMA) occlusion. Initial CT angiogram at 12:30am was reported as normal; the SMA occlusion was not identified until 4:45am…
60y · Male·Ischaemic gut secondary to superior mesenteric artery dissection complicating in…
… acute abdominal pain with elevated lactate. Imaging revealed superior mesenteric artery dissection with intestinal ischaemia—a recognised but uncommon complication of IABP. Despite emergency surgery and revascularisatio…
27y · Male·Loss of airway control and blockage due to aspiration from complications of a sm…
… whilst under dual respiratory-surgical care at Westmead Hospital. Critical clinical lessons include: (1) failure to maintain clear dual-team communication and decision-making authority, resulting in junior doctors beli…
20y · Female·cardiac dysrhythmia/arrest in a 20 year old Down's Syndrome female following abd…
…d: anaesthesia delivered by registrar without senior consultant present despite extreme anaesthetic risk; failure to provide intensive monitoring (ECG, continuous oximetry) post-operatively despite preoperative oxygen s…
76y · Female·aspiration of gastro-intestinal contents as a result of small bowel obstruction …
…h repeated vomiting but no medical review was sought. She aspirated faecal-smelling vomitus and died. Key failures: reliance on potentially unreliable history from a dementia patient, insufficient diagnostic weight give…
70y · Female·Severe dehydration and renal complications secondary to intestinal obstruction d…
A 70-year-old woman presented to a rural hospital with 48 hours of vomiting and dehydration secondary to an inguinal hernia obstruction. The initial assessment by the hospital medical officer failed to adequately review …
29y · Female·peritonitis caused by ischaemia of the bowel due to gastrointestinal torsion (tw…
…with severe intellectual disability and aphasia, died of peritonitis secondary to bowel torsion. Critical failures occurred at multiple levels: carers at her group home delayed calling an ambulance despite hours of seve…
69y · Female·Intra-abdominal sepsis and shock with multi-organ failure following intestinal p…
A 69-year-old woman died from intra-abdominal sepsis and multi-organ failure following a perforated caecum that occurred after lumbar spine surgery. Post-operatively, she developed a…
68y · Male·Ischaemic small and large intestine complicating cardiogenic shock in the settin…
… distortions (diastolic hypertension, hypothermia) require medical assessment; (3) systemic communication failures between custodial facilities prevented appropriate escalation; (4) custody staff assumptions about subst…
1y · Male·Complication of burns and trauma to the mesenteric artery
…manner inconsistent with typical burn injuries. Critical clinical lessons include: (1) severe supervision failures by parents; (2) failure of government agencies (NSW and Queensland child protection and mental health se…
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