Coronial

47 results for severe constipation

VIChospital2024-11-22

Finding into death of RD Z

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

…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 with multiple admissions for bowel washout…

gastroenterologypaediatric surgerydiagnosticcommunicationmacrogol
VICcommunity2018-03-30

Finding into death of Antonia Victoria Lourandos

22y · Female·Complications of megacolon due to chronic constipation in a woman with cerebral …

A 22-year-old woman with severe cerebral palsy and epilepsy died of complications from megacolon due to chronic constipation. She attended…

disability medicinegastroenterologysystemcommunicationdiazepam
VIChospital2015-09-07

Finding into death of Jay Dion Sykes

18y · Male·Aspiration pneumonia in a setting of acquired brain injury from non-accidental h…

…piration pneumonia in the setting of acquired brain injury sustained non-accidentally as an infant. He had severe cerebral palsy, tetraparesis, aphasia, visual impairment, intellectual disability, epilepsy, and gastro-oe…

general medicineemergency medicinecommunicationesomeprazole
WAmental health2020-08-06

Inquest into the Death of Stephen Michael KELL

35y · Male·acute vomit aspiration in a man with acute large intestine obstruction (severe m…

…pine treatment per 2015 guidelines, a serious medication side effect—gastrointestinal hypomotility causing severe megacolon—was not widely recognised at that time. The coroner found his treatment appropriate but highligh…

psychiatrygastroenterologysystemdelayclozapine
VICaged care2015-03-26

Finding into death of Chang Ying Xu

72y · Female·Hanging

Chang Ying Xu, a 72-year-old Chinese-speaking woman with severe spinal cord compression, chronic pain, and depression, died by hanging during respite care at an aged care…

general practicegeriatric medicinediagnosticcommunicationbuprenorphine
QLDhospital2023-02-13

Hunter- Non-inquest findings

8y · Male·ischaemic bowel due to strangulated small bowel obstruction secondary to congeni…

…oration was not recognised or escalated. Key failures included: premature closure and anchoring bias on constipation/faecal loading; inadequate fluid balance documentation masking vomiting severity; failure to seek senio…

surgerypaediatricsdiagnosticcommunicationondansetron
SAhospital2002-03-28

Coroner's Finding: PETROCCIA Assunta

26y · Female·cardiorespiratory arrest due to massive gastric dilatation with gastric rupture

…due to massive gastric dilatation with rupture following a bulimic episode. She presented to hospital with severe abdominal pain and was incorrectly diagnosed with constipation by Dr F., the surgical registrar. While the…

surgeryemergency medicinediagnosticcommunicationmorphine
WAhospital2023-06-29

Inquest into the Death of Child R (Name Subject to Suppression Order)

11y · Female·Complications of E. coli sepsis in association with intestinal obstruction due t…

Child R, an 11-year-old Aboriginal girl with congenital anorectal anomalies causing chronic severe constipation, presented to Halls Creek Hospital on 5 January 2017 with severe abdominal pain and vomiting.…

paediatricsemergency medicinediagnosticcommunicationmacrogol
VIChospital2018-12-30

Finding into death of Peter Allen Bain

31y · Male·Aspiration Pneumonia

Peter Bain, a 31-year-old man with severe intellectual disability, autism, and multiple comorbidities, died from aspiration pneumonia. He was admitt…

respiratory medicineintensive caresodium valproate
VIChospital2023-06-06

Finding into death of Dianne Linford

63y · Female·Complications following sedation for percutaneous endoscopic gastrostomy (PEG) t…

…sk factor for anaesthesia. Following a dental injury in March 2018, she developed aspiration pneumonia and severe mouth ulcers limiting oral intake. She presented in June requiring hospitalisation for dehydration. During…

anaesthesiagastroenterologyprocedural
VIChospital2022-11-29

Finding into death of Paul Desmond Smith

58y · Male·complications of large bowel pseudo-obstruction

…charge from hospital after inadequate assessment. He had presented to the ED with lower abdominal pain and severe faecal loading (bowel dilation 19cm). Despite a critical admission one year prior requiring ICU and manual…

general surgerycolorectal surgerydiagnosticcommunicationmacrogol
VIChospital2026-04-14

Finding into death of Giovanni John Miceli

53y · Male·Sepsis secondary to aspiration pneumonia

… early signs of sepsis in this population, and the challenge of managing end-of-life care in patients with severe disability. Preventive measures for aspiration risk and early recognition of infection signs remain critic…

infectious diseasesemergency medicineantibiotics
VIChospital2024-01-18

Finding into death of Amelia Antonopoulos

60y · Female·Aspiration pneumonia in a woman with Down's syndrome with dementia and epilepsy

…ality of care. Clinically, this case highlights the challenge of managing aspiration risk in patients with severe cognitive impairment and swallowing dysfunction. Key lessons include: ensuring clear communication of high…

emergency medicinepalliative care
WAhome2026-02-23

Inquest into the Death of Child MML

11y · Male·Bronchopneumonia and small bowel necrosis with perforation, in a boy with multic…

… in April 2010 who suffered catastrophic abusive head trauma at eight months old in December 2010, causing severe lifelong neurological impairment including cerebral palsy, uncontrolled seizures, and blindness. The cause…

neurologypaediatricscommunicationsystem
TAShome2025-12-11

Coroner's Finding: de-identified SH

57y · Female·aspiration of gastric contents caused by combined drug and alcohol toxicity resu…

… conditions died from aspiration of gastric contents caused by combined drug and alcohol toxicity. She had severe chronic pain following abdominal surgeries, opioid addiction managed with methadone, depression, and multi…

general practicepharmacologymedicationmethadone
VIChospital2025-02-12

Finding into death of Alexander Cameron

40y · Male·Aspiration pneumonia

Alexander Cameron, a 40-year-old man with complex neurodevelopmental, neurological and psychiatric disorders including epilepsy, autism, and previous neuroleptic malignant syndrome (NMS), died from aspiration pneumonia f…

intensive caregeneral surgeryclozapine
TAShospital2017-01-03

Coroner's Finding: Summerfeldt; Ian Patrick

48y · Male·sepsis and renal failure due to perforated gastric ulcer

…epatitis C and schizo-affective disorder presented to West Coast District Hospital on 20 October 2014 with severe abdominal pain radiating to the right shoulder tip, generalised tenderness, and a pain rating of 8/10. Cli…

emergency medicinegeneral practicediagnosticdelayketorolac
TAShospital2019-04-18

Coroner's Finding: Davis, Catherine Joy

31y · Female·urosepsis due to acute pyelonephritis

Catherine Joy Davis, a 31-year-old woman with severe lissencephaly, intellectual impairment, epilepsy and cerebral palsy, died from urosepsis due to acute pyel…

emergency medicinegeneral medicinediagnosticdelayoral antibiotics via peg tube
VIChospital2025-12-01

Finding into death of Larelle Sheridan Dean

51y · Female·Multiorgan failure in the setting of WHO Class III obesity, chronic excessive al…

…sponsiveness on 4 November 2024, was found to have type 2 respiratory failure, acute kidney injury, and constipation. Despite appropriate management including non-invasive ventilation, antibiotics, and diuresis, she dete…

general medicineemergency medicinehydromorphone
VICaged care2022-12-12

Finding into death of Lorraine Earl

71y · Female·Complications of cerebral palsy

…m complications of cerebral palsy at Wantirna Hospital following a palliative care pathway initiated after severe dysphagia developed during a hospital admission. The Disability Services Commissioner investigation identi…

palliative caregastroenterologycommunicationsystem

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