Coronial

69 results for acute bowel obstruction

VIChospital2023-04-27

Finding into death of Gary Ronald Burgess

59y · Male·Massive aspiration in the setting of intubation following complications of sever…

…cations. Recommendations focus on state-wide implementation of improved monitoring protocols, standardised bowel management templates, and education for non-psychiatric clinicians about clozapine-related gastrointestina…

psychiatrygeneral medicinesystemcommunicationclozapine
WAhospital2005-03-03

Inquest into the Death of Giovanni Bertoncini

72y · Male·acute gangrene of colon with probable perforation along with bowel obstruction a…

…n with diabetes and cardiac disease, presented to Sir Charles Gairdner Hospital on Christmas Day 2002 with acute abdominal pain and vomiting. Over two days, his condition deteriorated but ischaemic bowel disease was not…

emergency medicinegeneral medicinediagnosticdelayparacetamol
QLDhospital2019-06-20

Burrell, Michael Leslie

58y · Male·Multifocal hepatocellular carcinoma due to cirrhosis of the liver due to hepatit…

…the ED on 17 September 2016 with nausea, vomiting and abdominal pain. An abdominal x-ray suggested partial bowel obstruction but this was not identified at the time due to the registrar reviewing only one of three image…

emergency medicinegastroenterologydiagnosticcommunicationmorphine
NSWhospital2020-06-12

Inquest into the death of Dat Nhieu HA

45y · Male·abdominal sepsis on a background of metastatic lung carcinoma

A 45-year-old man with advanced metastatic lung cancer died from abdominal sepsis secondary to bowel perforation while imprisoned. He presented with respiratory symptoms in January 2019, was diagnosed with t…

respiratory medicineoncology
NSWhospital2015-06-16

Inquest into the death of Sean WAYGOOD

47y · Male·acute renal failure caused by bilateral ureteral obstruction due to metastatic c…

Sean Waygood, an Extreme High Security prisoner, died from acute renal failure caused by metastatic colorectal cancer. He presented with abdominal pain, constipation, and …

general practiceoncologydiagnostictramadol
TAShospital2021-08-26

Coroner's Finding: PY

0y · Unknown·sepsis leading to multiple organ failure syndrome

…rar was not called until 5.00pm, causing critical delays in diagnosis and treatment of sepsis secondary to bowel obstruction. The child's congenital heart condition may have distracted clinicians from recognising the ac…

paediatricsemergency medicinediagnosticdelayparacetamol
NSWhospital2016-12-21

Inquest into the death Kyran DAY

0y · Male·Complications of hypoxic ischaemic encephalopathy secondary to recurrent episode…

…roached him the next morning. Delays in ambulance booking, inadequate handover communication regarding the acute nature of bowel obstruction, and the paramedic crew receiving an R3 (not R1) response code contributed to …

paediatricsemergency medicinediagnosticcommunication
NSWhospital2024-05-10

Inquest into the death of Finlay Browne

16y · Male·mid-gut volvulus and bowel obstruction, leading to ischaemic bowel and related c…

…ay Browne, a 16-year-old with Down syndrome, presented to Bathurst Base Hospital on 30 September 2016 with acute abdominal pain and vomiting. Despite clear clinical signs—including a lactate of 7.2 mmol/L (grossly abnor…

emergency medicinesurgerydiagnosticcommunication
QLDhospital2005-05-04

Robinson, Jacinta Kate

7y · Female·cardiac tamponade due to total parenteral nutrition fluid leakage into the peric…

…arenteral nutrition (TPN) fluid leaking into the pericardial sac via a central venous line inserted during bowel obstruction surgery. Clinical lessons: cardiac tamponade is a rare but life-threatening complication of ce…

paediatric surgeryanaesthesiadiagnosticcommunicationtotal parenteral nutrition
SAhospital2014-02-05

Coroner's Finding: COOK Eileen Hazel

76y · Female·hospital acquired pneumonia, multiple organ dysfunction and small bowel obstruct…

…ar-old woman, died in January 2010 from hospital-acquired pneumonia, multiple organ dysfunction, and small bowel obstruction. She was admitted to a rural hospital with acute renal failure and dangerously high potassium …

general practiceemergency medicinediagnosticcommunicationintravenous fluids
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…

…ere abdominal pain and vomiting. She died 12 hours later from E. coli sepsis associated with intestinal obstruction due to faecal impaction of megacolon. Critical delays in management included: a three-hour delay admini…

paediatricsemergency medicinediagnosticcommunicationmacrogol
SAhospital2004-02-13

Coroner's Finding: CUCUK Radomir

38y · Male·multi organ failure secondary to intestinal ischaemia from toxic megacolon relat…

…olectomy. Despite appropriate clinical assessment and timely surgical intervention, he died from ischaemic bowel necrosis. The coroner found no grounds for criticism of medical treatment. However, the case highlights th…

psychiatryemergency medicineclozapine
VIChospital2012-03-02

Finding into death of Elsa Harrington

45y · Female·Multisystem organ failure secondary to acute liver failure associated with parac…

Elsa Harrington, a 45-year-old woman, died from acute liver failure secondary to paracetamol toxicity in November 2002. She was admitted post-hysterectomy with …

general surgerycardiologydiagnosticcommunicationparacetamol
VIChospital2020-07-16

Finding into death of Lydia Maxfield

85y · Female·Multisystem failure complicating ischaemic heart disease and ischaemic bowel in …

…ee replacement at a private hospital from multisystem failure due to ischaemic heart disease and ischaemic bowel. Critical clinical lessons: (1) Multiple abnormal vital signs (low oxygen saturation, hypotension) occurri…

orthopaedic surgeryanaesthesiacommunicationsystemondansetron
QLDhospital2018-04-12

Mr RR - Non-inquest findings

86y · Male·Aspiration Pneumonia secondary to Recurrent Colorectal Carcinoma

An 86-year-old man died from aspiration pneumonia following bowel preparation for elective colonoscopy. He was admitted to an outlying ward rather than the gastroenterology…

gastroenterologycardiologydiagnosticcommunicationondansetron
NSW2018-10-26

Inquest into the death of Mahmoud Houri

27y · Male·multiple organ failure due to the consequences of multiple gunshot wounds to the…

… when he presented with vomiting and abdominal pain, which led to emergency surgery revealing a rare small bowel volvulus requiring total bowel resection. Expert evidence established that this volvulus was exceptionally…

general surgerygastroenterologymetoclopramide
VIChospital2012-08-24

Finding into death of Cameron Yeates

31y · Male·Acute colonic pseudo-obstruction; death certificate amended to 'unascertained' -…

…a 31-year-old man with intellectual disability (IQ 64) and longstanding gastrointestinal issues, died from acute colonic pseudo-obstruction with underlying malnourishment. Key clinical lessons: (1) severe malnutrition s…

gastroenterologygeneral practicecommunicationsystemwarfarin
VIChospital2013-08-13

Finding into death of Thelma Katherine Holt

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

…anuary 2009, she presented with severe abdominal pain and vomiting. CT imaging confirmed gastric outlet obstruction from the balloon. Despite this, her gastroenterologist advised against urgent removal, citing lack of e…

gastroenterologygeneral surgerydiagnosticproceduralsertraline
ACThospital2018-11-26

AN INQUEST INTO THE DEATH OFADRIAN CHARLES WILFRED VAN DIE

50y · Male·Multi-organ failure caused by low flow ischaemia of coeliac artery and superior …

Adrian Van Die, a 50-year-old with severe ischaemic cardiomyopathy, underwent coronary artery bypass grafting with intra-aortic balloon pump (IABP) support. The first IABP ruptured intraoperatively and was replaced. The …

cardiothoracic surgeryintensive caresystem
WAhospital2021-11-29

Inquest into the Death of Miss T (Name Subject to Suppression Order)

16y · Female·acute abdominal obstruction secondary to adhesions associated with severe pelvic…

A 16-year-old Aboriginal girl died on Christmas Day 2016 from acute abdominal obstruction secondary to severe pelvic inflammatory disease caused by untreated gonorrhoea. Miss…

emergency medicinegeneral practicediagnosticsystemcannabis

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