Coronial

88 results for peritonitis

VIChospital2025-08-04

Finding into death of Winifred Jean Carpenter

82y · Female·Peritonitis due to leakage of bowel contents from bowel anastomosis following el…

Winifred Carpenter, 82, died 11 days after a right hemicolectomy for colon cancer from peritonitis due to anastomotic leak. Critical failures occurred on discharge day (10 March 2023): clinicians did no…

general surgerycolorectal surgerydiagnosticcommunication
SAhospital2005-06-03

Coroner's Finding: SORENSEN Ruth Bengta Maria

69y · Female·faecal peritonitis due to small bowel obstruction and perforation due to periton…

…rs 40 minutes without diagnosis. She deteriorated rapidly and died at home the next morning from faecal peritonitis due to small bowel obstruction and perforation from peritoneal adhesions. The coroner found the standar…

emergency medicinesurgerydiagnosticcommunicationprochlorperazine
NSWhospital2023-03-09

Inquest into the death of William Edmunds

79y · Male·complications of peritonitis

…tly. Multiple subsequent surgeries were required, but the patient ultimately died from complications of peritonitis. The coroner found the surgical error avoidable through appropriate care and attention, and criticised …

general surgeryintensive careproceduraldiagnosticmorphine
VIChospital2014-11-28

Finding into death of June Olive Pegg

80y · Female·peritonitis due to sigmoid resection margin leak following extended right hemico…

June Olive Pegg, 80, died from peritonitis following anastomotic leak after extended right hemicolectomy for colonic cancer. Critical delays in di…

colorectal surgerygeneral surgerydiagnosticdelayfurosemide
NThospital2004-02-11

Inquest into the death of Robert Dalgleish

57y · Male·Multiple organ failure in consequence of peritonitis resulting from complication…

Robert Douglas Dalgleish died from multiple organ failure due to peritonitis resulting from complications of gastric banding surgery. He presented to the ED on 18 July 2002 with ab…

surgerygeneral surgerydiagnosticcommunication
QLDhospital2016-08-19

Plumb, Mark Anthony

76y · Male·Multiple organ failure due to sepsis with peritonitis and pancreatitis, secondar…

…ive management without reviewing the patient or escalating care. Deterioration continued overnight with peritonitis developing. A second review at 02:15 identified clinical deterioration but the surgeon was not contacte…

surgeryanaesthesiadiagnosticcommunicationmorphine
NThospital2018-09-21

Inquest into the death of Henry George Wilson aka Albert Wilson

77y · Male·sepsis due to retroperitoneal collection after biliary stent insertion on a back…

… procedure that perforated his duodenum. Critical failures included: delayed diagnosis and treatment of peritonitis (diagnosis made at 1.20pm on 18 September, appropriate management delayed until late afternoon); lack o…

general surgeryradiologydiagnosticcommunicationpiperacillin/tazobactam
SAhospital2003-11-05

Coroner's Finding: MARTIN Julie Anne

38y · Female·peritonitis with septic shock secondary to perforation of the gastrointestinal t…

…n persistent vegetative state following anoxic encephalopathy from anaphylaxis during surgery died from peritonitis caused by perforation at the gastrostomy stoma site. The perforation likely occurred during difficult r…

anaesthesiaemergency medicinediagnosticcommunicationsuxamethonium
QLDrural hospital2020-05-08

FD - Non-inquest findings

68y · Female·Sepsis (Enterobacter cloacae) due to peritonitis as a consequence of leaking per…

A 68-year-old woman with oculopharyngeal muscular dystrophy died from sepsis due to peritonitis following dislodgement of a PEG tube inserted on 27 February 2018. She presented to a rural hospital 5.…

gastroenterologyemergency medicinediagnosticcommunicationaugmentin duo
NSW2018-07-13

Inquest into the death of Sony William Tran-Bui

33y · Male·complications of acute peritonitis caused by rupture of a duodenal ulcer

Sony William Tran-Bui, aged 33, died from acute peritonitis caused by a ruptured duodenal ulcer while in custody at Silverwater Correctional Centre in November 201…

gastroenterologyemergency medicinecommunicationsystemdiazepam
VIChospital2023-05-30

Finding into death of Thelma Annie Ogilvy

90y · Female·abdominal sepsis complicating perforated diverticular abscess of the sigmoid col…

…hese did not contribute to her death as she remained clinically stable throughout. The autopsy revealed peritonitis with pus from perforated sigmoid diverticular abscess. The coroner concluded her death was not preventa…

general surgerycolorectal surgeryapixaban
WAhospital2005-09

Inquest into the Death of Maria Donatelli

72y · Female·Peritonitis due to perforated diverticulum in transverse colon

…ic shock and was transferred to Fremantle Hospital where she died at 11:24 hours. Post mortem confirmed peritonitis from a perforated diverticulum in the transverse colon. Key failures included: inadequate interpretatio…

general surgeryemergency medicinediagnosticcommunicationtramadol
NThospital2018-09-21

Inquest into the death of David Fensom

67y · Male·multi-organ failure due to septic shock consequent on faecal peritonitis due to …

…-hour delay before appropriate laparotomy on 10 October revealed perforated ischaemic bowel with faecal peritonitis and pseudomonal sepsis. While subsequent ICU management was appropriate, the delayed diagnosis of a sur…

general surgeryemergency medicinediagnosticcommunicationfentanyl
NSWhospital2019-07-22

Inquest into the death of Nicholas Wells

24y · Male·Peritonitis secondary to a perforation of the small bowel

Nicholas Wells, a 24-year-old man, died from peritonitis secondary to small bowel perforation sustained in a motor vehicle accident. Although he was suspected o…

emergency medicinesurgerydiagnosticcommunicationmethamphetamine
QLDhome2005

Shaw, Lillian Margaret

67y · Female·perforated gastric ulcer; morphine toxicity also made a significant contribution

Mrs Lillian Shaw, a 67-year-old obese woman with a history of NSAID use, presented with vomiting and abdominal pain over 36 hours. A GP visited three times without performing adequate physical examination, failed to insp…

general practicegastroenterologydiagnosticmedicationtramadol
WAhospital2004-06-17

Inquest into the Death of Edmiston

41y · Female·Peritonitis following surgical procedure to the urinary bladder, due to infected…

Cheryl Lee Edmiston, a healthy 41-year-old woman, died of peritonitis and sepsis following minor bladder procedures (cystoscopy, hydrodilatation, and biopsy) at Joondalup He…

urologygeneral surgerydiagnosticmedicationamoxicillin
QLDhospital2012-12-06

McNaught, Judith

69y · Female·Septic shock due to biliary peritonitis as a consequence of laparoscopic cholecy…

A 69-year-old woman died of septic shock following bile leak complications after laparoscopic cholecystectomy. Critical failures included: (1) inappropriate transfer to low-dependency unit on post-op day 1 despite consul…

surgeryanaesthesiadiagnosticmedicationmorphine
WAhospital2017-03-31

Inquest into the Death of Anna Maria WINTER

94y · Female·Sepsis complicating management of vulval carcinoma in an elderly woman with seve…

A 94-year-old woman with vulval carcinoma underwent suprapubic catheter insertion at a private hospital on 14 May 2014. She appeared well post-procedure with normal observations. The following day, she was transferred by…

urologyoncologycommunicationsystem
QLDhospital2014-01-31

George, Lynda Margaret - Non-inquest findings

60y · Female·Peritonitis due to anastomotic leak following subtotal colectomy for treatment o…

60-year-old woman died from septic shock due to anastomotic leak following subtotal colectomy for synchronous bowel cancers. Early postoperative bronchospasm complicated clinical assessment, leading focus on respiratory …

general surgerycolorectal surgerydiagnosticcommunication
SAhospital2017-06-22

Coroner's Finding: BAARTSE Leila Marijke

9y · Female·peritonitis due to perforated small bowel due to blunt abdominal trauma

Nine-year-old Leila Baartse-Harkin died from peritonitis due to a perforated small bowel sustained when she fell from a swing. Despite three medical encounters …

emergency medicinepaediatricsdiagnosticcommunicationparacetamol

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