Coronial

88 results for peritonitis

QLDhospital2011-06-09

Tranby, James Errol

64y · Male·necrotising fasciitis precipitated by a fishbone perforating his rectum, leading…

James Tranby, a 64-year-old Indigenous diabetic prisoner, presented with a fish bone lodged in his rectum on 3 December 2008. Following removal on 5 December, he developed progressive sepsis leading to necrotising fascii…

general surgerycolorectal surgerydiagnosticdelayinsulin
TAShospital2021-08-20

Coroner's Finding: LA

67y · Male·acute gastrointestinal haemorrhage complicating peptic ulcer of the duodenum wit…

A 67-year-old man died from acute gastrointestinal haemorrhage from a duodenal ulcer following complex post-operative complications from laparoscopic Hartmann's procedure for diverticulitis. Key clinical lessons: (1) Ear…

general surgeryintensive carediagnosticmedicationrabeprazole
QLDhospital2016-11-14

Ms H - non-inquest findings

23y · Female·Necrotising retroperitoneal fasciitis due to acute perforated gangrenous appendi…

Ms H, a 23-year-old with Asperger's syndrome and intellectual impairment under OPG guardianship for healthcare decisions, presented to Redcliffe Hospital ED with abdominal pain, vomiting and diarrhoea. Despite clinical c…

emergency medicinesurgerysystemdiagnosticparacetamol
WAhospital2013-11-29

Inquest into the Death of Jones, Wilma Ray

75y · Female·Abdominal infection following surgery (repair of recurrent umbilical hernia) - s…

Wilma Ray Jones, 75, died of abdominal infection and sepsis following uncomplicated umbilical hernia repair. Post-mortem revealed ischaemic bowel with infarction, likely caused by superior mesenteric artery occlusion tri…

general surgeryanaesthesiadelaysystemephedrine
SAhospital2002-03-28

Coroner's Finding: PETROCCIA Assunta

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…

surgeryemergency medicinediagnosticcommunicationmorphine
VIChospital2023-03-31

Finding into death of Callie Griffiths-I'Anson

2y · Female·perforated oesophagus secondary to complications of treatment of oesophageal inj…

Callie Griffiths-I'Anson, a 2-year-old girl, died from a perforated oesophagus secondary to complications of treatment for caustic soda ingestion. She ingested caustic dishwashing liquid at a hotel on 11 December 2017 an…

paediatric surgeryanaesthesiacommunicationsystemmidazolam
WAhospital

Inquest into the Death of June Valerie LOBBAN

69y · Female·Intra-abdominal sepsis and shock with multi-organ failure following intestinal p…

… morning despite the RMO's documented plan. By the time a rehabilitation physician reviewed her at 6pm, peritonitis was established. She was transferred to Fremantle Hospital for emergency surgery, but the 12-24 hour de…

neurosurgerygeneral surgerydiagnosticdelayfentanyl
NSWhospital2019-12-19

Inquest into the death of Lesley ARNDELL

61y · Female·multi organ failure due to abdominal sepsis

… and responded to promptly by medical officers. The death likely resulted from anastomotic leak causing peritonitis, compounded by inadequate nutritional optimization and delayed recognition of sepsis.

general surgeryintensive caremedicationcommunicationpiperacillin/tazobactam
QLDhospital2007-12-07

Burgen, Deborah Denise

49y · Female·Intra-abdominal haemorrhage, septic and haemorrhagic shock as a result of a lapa…

Deborah Burgen died from intra-abdominal haemorrhage complicated by septic shock following delayed emergency surgery for bowel obstruction. She attended the emergency department six times over eleven days with identical …

emergency medicinesurgerydiagnosticdelayparacetamol/codeine
NThospital2019-04-16

Inquest into the death of Ali Achmadun Djawas

70y · Male·multi-organ failure due to septic shock consequent on faecal peritonitis due to …

Ali Djawas, a 70-year-old Indonesian-born man with comorbidities (hypertension, diabetes, COPD), underwent elective right hemicolectomy on 13 March 2017 for a suspicious ileo-caecal lesion. Biopsies were benign, CT imagi…

colorectal surgerygeneral surgerydiagnosticcommunicationmethylnatrexone
QLDhome2020-06-02

Lee, Mason Jet

1y · Male·Abdominal injuries (perforation of small bowel and mesentery with peritonitis pr…

Mason Lee, aged 22 months, died on 11 June 2016 from abdominal injuries inflicted by his mother's partner, William O'Sullivan, combined with severe neglect. Mason was admitted to hospital in February 2016 with severe per…

paediatricsinfectious diseasesdiagnosticsystemmethamphetamine
WAhospital2011-05-12

Inquest into the Death of Walden

68y · Female·Multi-organ failure associated with septic shock following duodenal perforation …

…ut her previous surgery. The duodenal perforations caused by the unnecessary surgical dissection led to peritonitis, sepsis, and death. The coroner criticised systemic failures at the hospital, particularly the pre-admi…

general surgerygeneral practicediagnosticcommunicationpethidine
NTaged care2021-01-07

Inquest into the death of Robert Curtis

61y · Male·end stage renal failure, in the context of type 2 diabetes mellitus and chronic …

Robert Curtis, a 61-year-old Aboriginal man with end-stage renal disease, end-stage liver disease, and poorly controlled diabetes, was imprisoned for driving while disqualified on 4 February 2019. He fell in the prison s…

nephrologypalliative carefentanyl
VIChospital2020-01-30

Finding into death of Ward Harker

93y · Male·Multisystem failure complicating sepsis secondary to perforated viscus

Ward Harker, 93 years old, died in the Alfred Hospital on 1 December 2015 from multisystem failure complicating sepsis following a perforated bowel. He was receiving palliative care. His grandson, Angus Tye, told nursing…

palliative careemergency medicinecommunicationsystemmorphine
TAShome2025-12-11

Coroner's Finding: de-identified SH

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

A 57-year-old woman with complex medical and mental health conditions died from aspiration of gastric contents caused by combined drug and alcohol toxicity. She had severe chronic pain following abdominal surgeries, opio…

general practicepharmacologymedicationmethadone
TAShospital2018-03-26

Coroner's Finding: Russell; Patricia Joy

74y · Female·empyema/sepsis complicating oesophageal perforation following a complicated elec…

Mrs Russell, a 74-year-old woman with diabetes, obesity, COPD and coronary disease, underwent elective hernia repair in November 2016 at a regional hospital. An unexpected colon tumour was removed during surgery. She sub…

surgeryanaesthesiadiagnosticdelay
VIChospital2023-08-14

Finding into death of Md Fakrul Alam Sozon

33y · Male·Haemoperitoneum secondary to lacerated spleen as a result of peritoneal ascitic …

A 33-year-old man with severe alcoholic liver disease (Child-Pugh C) and poor prognosis died from haemoperitoneum following splenic laceration during a diagnostic ascitic tap procedure. Two junior doctors (HMOs/Basic Phy…

gastroenterologyintensive careproceduraldiagnostic
VIChospital2023-02-22

Finding into death of Christine Ann Stephen

67y · Female·Intra-abdominal sepsis complicating an anastomotic leak following elective surge…

A 67-year-old woman died from intra-abdominal sepsis following an anastomotic leak from elective colorectal surgery to repair a vesico-colic fistula. The initial surgery on 1 November 2017 was appropriately performed, an…

colorectal surgeryintensive carecommunicationdelaynoradrenaline
SAaged care2013-11-29

Coroner's Finding: BETTS Lawrence

9y · Male·sigmoid volvulus

Lawrence Betts, a 9-year-old Aboriginal boy with Goldenhar syndrome and developmental disability including pica (ingesting foreign substances), died from sigmoid volvulus complicated by ingestion of soil, sand, and stone…

paediatricsgastroenterologysupervisionsystem
QLDhospital2015-05-26

SM - Non-inquest findings

32y · Male·Pulmonary embolism originating from deep vein thrombosis in right calf

A 32-year-old man died from pulmonary embolism six days after emergency appendectomy for perforated appendicitis. VTE prophylaxis was appropriately prescribed. However, the clinical team failed to investigate persistent …

general surgeryanaesthesiadiagnosticcommunicationheparin

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