37 results
40y · Male·large bowel obstruction complicating disseminated carcinoma of rectum
A 40-year-old male died in prison custody from large bowel obstruction complicating disseminated rectal carcinoma. He had been diagnosed with adenocarcinoma in 2004, treated with radiotherapy and chemotherapy, with progr…
76y · Female·aspiration of gastro-intestinal contents as a result of small bowel obstruction …
A 76-year-old woman with Alzheimer's dementia and psychiatric illness collapsed on 1 January 2009 and was assessed in the Emergency Department. Dr B. diagnosed vasovagal syncope with gastroenteritis based on the patient'…
61y · Female·respiratory failure secondary to advanced malignancy
Ms Carmelina Bellocco, aged 61, died from respiratory failure secondary to advanced metastatic colon cancer. She had longstanding paranoid schizophrenia with poor insight and compliance. Cancer was diagnosed in 2006 afte…
32y · Female·ischaemic heart disease complicated by upper gastrointestinal haemorrhage
A 32-year-old woman with schizophrenia presented to the emergency department with chest pain radiating to both arms, profuse sweating, and vomiting black material for several days. She also reported black stools. The fir…
62y · Female·gastric necrosis and perforation due to strangulated diaphragmatic hernia
Joyce Wilman, 62, died from gastric necrosis and perforation due to strangulated para-oesophageal hernia whilst detained under Mental Health Act at Queen Elizabeth Hospital. She presented with vomiting and abdominal pain…
64y · Male·hospital-acquired pneumonia on a background of end-stage cryptogenic liver cirrh…
Peter Langford, aged 64, died of hospital-acquired pneumonia complicated by end-stage cryptogenic liver cirrhosis after a 43-day admission to Flinders Medical Centre. He presented with severe cellulitis requiring amputat…
41y · Male·end-stage liver disease and pneumonia
Hans Heinrich von Spreckelsen, aged 41, died of end-stage liver disease and pneumonia while detained under the Mental Health Act at Flinders Medical Centre. He had hepatitis C and alcohol abuse history, with severe hepat…
29y · Male·aspiration pneumonia complicating acute and chronic Wernicke's encephalopathy an…
Grant Austin, a 29-year-old man with intellectual disability and morbid obesity, died from aspiration pneumonia complicating Wernicke's encephalopathy. He presented with prolonged refusal to eat and drink from December 2…
49y · Male·small intestinal infarction due to mesenteric and portal vein thrombosis associa…
Gary Walpole, a 49-year-old teacher with polycythaemia rubra vera, died from small intestinal infarction due to mesenteric and portal vein thrombosis. He was admitted to Royal Adelaide Hospital with oesophageal varices f…
57y · Male·aspiration pneumonia secondary to small bowel obstruction
A 57-year-old man with chronic schizophrenia, intellectual disability, and history of bowel obstruction presented with faecal vomiting and signs of shock. He was appropriately transferred to hospital where small bowel ob…
38y · Female·peritonitis with septic shock secondary to perforation of the gastrointestinal t…
A 38-year-old woman in persistent vegetative state following anoxic encephalopathy from anaphylaxis during surgery died from peritonitis caused by perforation at the gastrostomy stoma site. The perforation likely occurre…
72y · Female·haemorrhage from penetrating duodenal ulcer
A 72-year-old woman collapsed at home and was admitted with black bowel motions (melaena) suggestive of gastrointestinal bleeding. This crucial history was documented by the ED doctor but not properly acted upon by the a…
67y · Male·cancer of the stomach with metastasis liver
A 67-year-old man serving a life sentence died of metastatic stomach cancer in hospital. He was diagnosed with terminal gastric cancer in April 2000 and underwent a palliative gastric bypass procedure. Due to inability t…
26y · Female·cardiorespiratory arrest due to massive gastric dilatation with gastric rupture
Assunta Petroccia, a 26-year-old woman, died from cardiorespiratory arrest due to massive gastric dilatation with rupture following a bulimic episode. She presented to hospital with severe abdominal pain and was incorrec…
82y · Female·peritonitis due to a perforated viscus (proximal jejunum) resulting from motor v…
An 82-year-old woman suffered a motor vehicle accident causing blunt abdominal trauma. Despite initial clinical assessment appearing adequate, a perforated jejunum with developing peritonitis was not diagnosed until earl…
45y · Female·Multi-organ failure due to septicaemia and peritonitis due to faecal leakage fro…
A 45-year-old woman died from multi-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 re…
80y · Male·bronchopneumonia complicated by morphine toxicity
An 80-year-old man with terminal liver disease died from bronchopneumonia complicated by morphine toxicity following a medication administration error. A Graseby infusion pump was incorrectly set at 99mm/hour instead of …
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