51 results for “surgical resection”
62y · Male·Complications of Hepatocellular Carcinoma
A 62-year-old man with hepatitis C-related cirrhosis died from complications of hepatocellular carcinoma while in prison custody. He was identified with a 4cm liver mass in April 2016 and confirmed to have an 8cm hepatoc…
82y · Male·Cardiomegaly, myocardial fibrosis and ischaemic coronary artery disease in the c…
… limiting lesions treated per procedure; (3) difficult-to-control bleeding should prompt consideration of surgical referral; (4) multidisciplinary pre-procedure review of high-risk cases is essential; (5) regular audit o…
70y · Female·Hypoxic/Ischaemic Encephalopathy consequent upon Cardiorespiratory Arrest and Co…
…ti-organ failure. Death occurred 28 April 2008. Failures included radiological misinterpretation, delayed surgical decision-making, nursing delays in escalation, and systems failures in equipment availability.
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…
74y · Male·Small bowel obstruction due to extensive intra-abdominal adhesions
Timothy Funder, a 74-year-old man with schizophrenia, chronic obstructive pulmonary disease, and previous small bowel obstruction, died from small bowel obstruction due to extensive intra-abdominal adhesions. He presente…
51y · Female·peritoneal sepsis with multiple organ failure due to perforation of bowel by for…
A 51-year-old woman with intellectual disability and schizoaffective disorder died from peritoneal sepsis and multiple organ failure caused by bowel perforation from a wooden stick. The stick entered her body via her vag…
70y · Male·severe metabolic acidosis due to multi organ failure including liver ischaemia
…iled to adequately review CT imaging, which clearly showed organ herniation, leading him to underestimate surgical complexity and risk. He failed to provide adequate informed consent and produced an inadequate operation …
75y · Female·septic complications following surgical resection of duodenal ampullary adenoma
A 75-year-old woman died of sepsis from bile leaking into her abdomen after elective surgery to remove a pre-malignant tumour adjacent to the bile duct. The coroner found multiple preventable failures: inadequate pre-ope…
27y · Male·multiple organ failure due to the consequences of multiple gunshot wounds to the…
…dominal pain, which led to emergency surgery revealing a rare small bowel volvulus requiring total bowel resection. Expert evidence established that this volvulus was exceptionally rare and unpredictable, with academic …
74y · Female·empyema/sepsis complicating oesophageal perforation following a complicated elec…
…was removed during surgery. She subsequently developed a faecal leak from the colon anastomosis requiring surgical repair. Critically, she also suffered a spontaneous oesophageal perforation (Boerhaave syndrome) likely o…
67y · Male·multi-organ failure due to septic shock consequent on faecal peritonitis due to …
…nitis and pseudomonal sepsis. While subsequent ICU management was appropriate, the delayed diagnosis of a surgical emergency in a patient with known adhesion history proved fatal. Clinicians should maintain high suspicio…
73y · Female·Multiple organ failure due to or as a consequence of sepsis due to or as a conse…
…nd acute kidney injury requiring ICU admission. After initial improvement, she was discharged back to the surgical ward on day 8 but deteriorated overnight and required ICU readmission. She then suffered a femoral artery…
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 …
Female·Emily Ruth Leonard: multi-organ failure due to overwhelming sepsis from a perfor…
…gested vaginal approaches carried lower bowel injury risk. Key clinical lessons: careful consideration of surgical approach in patients with extensive adhesions; heightened vigilance for early peritonitis signs post-comp…
62y · Male·Intraoperative haemorrhage due to metastatic clear cell renal cell carcinoma (su…
A 62-year-old man died from intraoperative haemorrhage during surgery for a renal tumour initially diagnosed as benign anastomosing haemangioma on biopsy but found at autopsy to be metastatic clear cell renal cell carcin…
77y · Male·shock due to bowel ischaemia following massive blood loss due to bleeding of the…
Anthony George Bennett, a 77-year-old man with significant comorbidities including ischaemic heart disease, atrial fibrillation, peripheral vascular disease, and end-stage kidney disease, died from shock due to bowel isc…
0y · Female·Pneumonia in an infant with surgically repaired congenital heart disease, premat…
A 9.5-month-old girl with complex medical history (prematurity at 29 weeks, congenital heart disease status post multiple repairs, necrotising enterocolitis with ileostomy, failure to thrive) died from acute pneumonia ca…
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 with multiple admissions for bowel was…
40y · Male·metastatic malignant melanoma
A 40-year-old man with metastatic melanoma died at Queen Elizabeth Hospital on 2 September 2015. He had atypical nevi removed in 2009 and melanoma diagnosed in 2013, initially undergoing surgery with curative intent. How…
56y · Male·Pulmonary embolism with deep vein thrombosis an antecedent cause; coronary arter…
…his medical history, despite explicit expert recommendation; (4) lack of documented communication between surgical and anaesthetic teams regarding VTE risk. While the mechanical prophylaxis used (TED stockings and sequen…
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