Coronial

88 results for peritonitis

NThospital2011-06-01

Inquest into the death of Damon Cabiddu

4y · Male·acute suppurative peritonitis following rupture of an inflamed vermiform appendi…

…he next morning. However, he deteriorated acutely during the night and died from ruptured appendix with peritonitis. Expert evidence confirmed diagnosis of appendicitis in preschool children is exceptionally difficult; …

paediatricsemergency medicineparacetamol
SAhospital2010-12-30

Coroner's Finding: D'AGOSTINO Antonia

59y · Female·sepsis due to faecal peritonitis due to perforation of sigmoid colon complicatin…

A 59-year-old woman died from sepsis due to faecal peritonitis following a bowel perforation during laparoscopic oophorectomy for a benign ovarian cyst. The perforati…

gynaecologygeneral surgerydiagnosticdelaypethidine
VIChospital2016-07-14

Finding into death of Ross Albert Butler

67y · Male·Faeculent peritonitis due to perforation of a sigmoid volvulus

…d for decompression. Conservative management was continued, but he deteriorated and died from faeculent peritonitis secondary to bowel perforation. Critical clinical lessons include: (1) comprehensive abdominal assessme…

general surgeryemergency medicinecommunicationdocumentationmorphine
QLDhospital2012-09-06

Parry, Nerida Ann

63y · Female·bile peritonitis as a complication from a laparoscopic cholecystectomy

A 63-year-old woman died from bile peritonitis following laparoscopic cholecystectomy. The surgeon's intraoperative management was appropriate with no…

general surgeryanaesthesiadiagnosticcommunication
NSWhospital2011-08-15

Coroner's Finding: Jacob Leonel Belim

8y · Male·Septic shock consequent on burst appendix with peritonitis

…Liverpool before transfer to Westmead. At Westmead, surgery was delayed five hours despite clear septic peritonitis indicators. Post-operatively, Jacob was inappropriately monitored on the ward instead of ICU despite ob…

emergency medicinegeneral practicediagnosticcommunicationampicillin
VICcommunity2014-12-08

Finding into death of Gerard Alexander Tibballs

66y · Male·Peritonitis secondary to bowel perforation from small bowel obstruction caused b…

…osis. The patient remained at home, deteriorated over the following days, and collapsed on 25 June with peritonitis from bowel perforation secondary to adhesions. The coroner found Dr D.'s failure to ensure direct commu…

general practiceradiologycommunicationdelaymetoclopramide
SAhospital2001-05-04

Coroner's Finding: ROACH Dawn Ruth

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

…unable to manage the stoma. Within one day, the bridge dislodged, the bowel retracted, and catastrophic peritonitis ensued. The clinical lesson is that colostomy complications identified early (days 1-3 post-op) should …

colorectal surgerygeneral surgeryproceduralcommunication
SAhospital2001-08-24

Coroner's Finding: GADALETA Saverio

28y · Male·Peritonitis and septic shock complicating perforation of the terminal small bowe…

… left staff unaware of his worsening condition. He suffered cardiac arrest 5.5 hours after arrival with peritonitis from a perforated bowel caused by a swallowed Coca-Cola bottle lid. Although earlier diagnosis might no…

emergency medicinegeneral surgerycommunicationdelayparacetamol
VIChospital2011-05-18

Finding into death of Hannah Paige Pain Fowler

11y · Female·Sepsis due to acute peritonitis secondary to perforated gangrenous acute appendi…

Hannah Fowler, aged 11, died from sepsis secondary to perforated gangrenous acute appendicitis. She presented with progressive abdominal pain, vomiting, anorexia and malaise over four days before sudden deterioration and…

paediatricsemergency medicinediagnosticdelayparacetamol
TAShospital2016-06-27

Coroner's Finding: Mr P

64y · Male·Small bowel infarction due to a volvulus owing to adhesions in the small intesti…

…bowel obstruction but failed to consider critical complications such as strangulation, perforation, and peritonitis. Upon admission to the ward, a surgical registrar identified signs of complicated obstruction but eithe…

emergency medicinegeneral surgerydiagnosticdelay
NSWhospital2020-03-04

Inquest into the death of Paul MORTIMER

65y · Male·ischaemic heart disease following complications of colorectal surgery

A 65-year-old man with significant comorbidities (cardiomyopathy, diabetes, obesity) underwent colorectal surgery for adenocarcinoma. Post-operative course was complicated by anastomotic breakdown causing sepsis on day 1…

colorectal surgeryintensive careproceduralsystemenoxaparin
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…

…pse 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 October 2008; a colon perforation fro…

gynaecologyintensive carediagnosticproceduralheparin
NThospital2012-10-29

Inquest into the death of Ben James Witham

17y · Male·Multi-organ failure with terminal fungal sepsis (Aspergillus) on a background of…

… investigations including overnight x-rays and scans were available but not ordered. This delay allowed peritonitis and bacterial infection to develop, contributing significantly to death. The coroner found the standard…

oncologyhaematologydiagnosticdelaymorphine
VIChospital2013-08-13

Finding into death of Thelma Katherine Holt

79y · Female·pneumonia in the setting of acute peritonitis due to perforated stomach (operate…

…y 1 February, her condition deteriorated, and emergency surgery revealed large gastric perforation with peritonitis. She died 14 March 2009 from pneumonia in the setting of acute peritonitis. Key preventable failures in…

gastroenterologygeneral surgerydiagnosticproceduralsertraline
NThospital2009-11-27

Inquest into the death of Alma June Green

82y · Female·acute peritonitis, ruptured bowel and incarcerated bowel herniation

…rform abdominal examination and did not escalate to senior surgical staff. The deceased died from acute peritonitis due to ruptured bowel from her pre-existing incarcerated hernia. While recognition may not have changed…

general surgeryradiologydiagnosticcommunicationoxycodone
NSWhospital2011-09-16

Chiundiza kundayi

16y · Male·Peritonitis as a result of ruptured duodenum following blunt trauma of the torso

A 16-year-old boy died from peritonitis secondary to duodenal rupture two days after being treated and discharged from Campbelltown Hospital Em…

emergency medicinesurgerydiagnosticcommunicationmethoxyflurane
QLDhospitalNew2026-06-09

Inquest into the death of Rosemarie Campbell

62y · Female·Acute bacterial peritonitis and pneumonia

Rosemarie Campbell, 62, died 27 February 2022 from acute bacterial peritonitis and pneumonia following a Roux-en-Y gastric bypass at Wesley Hospital. Pre-operative failures: The surg…

bariatric surgeryanaesthesiadiagnosticproceduralesomeprazole
VICaged care2016-04-14

Finding into death of Attilio Crozzoli

94y · Male·Multi-system organ failure, peritonitis, acute gangrenous cholecystitis with cho…

Attilio Crozzoli, a 94-year-old nursing home resident with significant comorbidities (ischaemic heart disease, diabetes, dementia), died of multi-system organ failure secondary to sepsis from acute gangrenous cholecystit…

general practicegeriatric medicinecommunicationsystemcephalozolin
NSWhospital2016-12-22

Inquest into the death of Shona Hookey

29y · Female·peritonitis caused by ischaemia of the bowel due to gastrointestinal torsion (tw…

Shona Hookey, a 29-year-old Aboriginal woman with severe intellectual disability and aphasia, died of peritonitis secondary to bowel torsion. Critical failures occurred at multiple levels: carers at her group home del…

emergency medicineparamedicinediagnosticcommunicationparacetamol
VIChome2021-06-29

Finding into death of HM

15y · Male·Gastric perforation with early peritonitis; Acute gastric distension and chronic…

…suspected autism spectrum disorder and depression, died from spontaneous gastric perforation with early peritonitis secondary to acute gastric distension. He had dysfunctional eating patterns, poor school attendance, so…

paediatricspsychiatrysystemdelaylovan

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