Coronial

23 results for CT scan of abdomen and pelvis

TAShospital2025-01-21

Coroner's Finding: Connlley, Maurice Gordon

76y · Male·Extensive small bowel infarction caused by superior mesenteric artery thrombus

A 76-year-old man presented to ED with sudden onset left-sided abdominal pain, vomiting and bowel incontinence. Initial CT imaging was reassuring. However, mesenteric ischaemia—characterised by sever…

emergency medicinesurgerydiagnosticdelayanticoagulant
VICaged care2018-10-31

Finding into death of Winifred Jean Morffew

88y · Female·Complications of a pedestrian accident including subarachnoid haemorrhage, subdu…

… was struck by a reversing vehicle at low speed, sustaining subarachnoid haemorrhage, subdural haemorrhage, and fractured humerus. She was initially managed conservatively at Ballarat Base Hospital with neurosurgery con…

emergency medicineneurosurgerysystem
VIChospital2022-03-09

Finding into death of Daniel McQuilken

68y · Male·Lung cancer

…ancer. His lung cancer diagnosis was made while detained, likely related to his significant smoking history and prior asbestos and occupational exposure. Throughout his detention, Mr McQuilken received reasonable and ap…

oncologyrespiratory medicinechemotherapy agents
QLDhospital2021-02-24

Fullerton, Robert Martin

59y · Male·Disseminated carcinoma on a background of emphysema

Robert Fullerton, a 59-year-old Aboriginal man from Palm Island, died from disseminated carcinoma while remanded in custody at Townsville Correctional Centre. He presented…

oncologycardiologyprazosin
VIC2026-01-28

Finding into death of L N

28y · Male·Traumatic intracranial haemorrhage sustained in an unwitnessed fall

… building. He had been heavily intoxicated (blood alcohol 0.27 g/100mL, cocaine positive) at a social event and fell down stairs in the communal area around 11:15pm. He was found conscious but with severe brain injury, …

intensive careneurosurgeryalcohol
TAShospital2019-10-29

Coroner's Finding: Holmes, Julie Anne

71y · Female·pneumonia following cervical spine fracture sustained in motor vehicle collision

…tial neck injury; (2) the emergency department failed to image her cervical spine despite seatbelt bruising and institutional guidelines requiring radiology for trauma patients over 65 years; (3) a CT shoulder scan fail…

emergency medicinegeneral surgerydiagnosticprocedural
NSWhospital2020-02-12

Inquest into the death of Francis Sawle

82y · Male·Acute myocardial infarction caused by ischaemic heart disease

… comorbidities including severe triple vessel disease, chronic renal impairment, interstitial lung disease, and Alzheimer's disease. An Advanced Care Directive establishing a non-resuscitation plan was appropriately doc…

cardiologypalliative careperindopril
VIChospital2023-06-25

Finding into death of Peter John Weatherly

63y · Male·Aspiration pneumonia in the setting of functional decline in a man with an intel…

A 63-year-old man with intellectual disability, cerebral palsy, dysphagia, and COPD died from aspiration pneumonia following functional decline. He had a three-month hospital admission w…

general medicineemergency medicinesystemcommunicationrisperidone
VIChospital2024-04-12

Finding into death of Patrick Anthony Barry

72y · Male·Aspiration pneumonia and small bowel obstruction secondary to metastatic bowel c…

Patrick Barry, a 72-year-old man with intellectual disability, severe dysphagia, and metastatic bowel cancer, died from aspiration pneumonia and small bowel obstruction. He had recurrent respi…

general medicineemergency medicine
TASmental health2021-05-21

Coroner's Finding: Hanson, Sungwaan

64y · Female·stage IVB metastatic adenocarcinoma of the rectum

…Act treatment order at the time of her death. A rectal mass was identified on examination in November 2019, and CT imaging confirmed locally advanced disease. In consultation between Mental Health Services, Surgical Ser…

psychiatrygeneral medicine
VIChospital2022-05-09

Finding into death of Robert Albert Burns

75y · Male·Multiorgan dysfunction syndrome complicating anastomotic leak following hemicole…

…vestigate an intra-abdominal cause until day 8 post-surgery, despite clinical indicators of infection. A CT scan on day 10 revealed free fluid but was not acted upon promptly; transfer to St Vincent's occurred on day 10,…

colorectal surgeryintensive carediagnosticdelay
QLDhospital2021-02-24

Petzler, Dennis Michael

59y · Male·Carcinomatosis due to adenocarcinoma of the pancreas

…is due to adenocarcinoma of the pancreas with extensive metastatic spread. He presented with abdominal pain and nausea in June 2018, initially managed as gastritis. A hospital referral on 2 July 2018 revealed advanced m…

oncologygeneral medicinedexamethasone
VIChospital2026-02-27

Finding into death of PDR

78y · Male·Acute pancreatitis

A 78-year-old man with a long history of mental illness and multiple chronic physical conditions died from acute pancreatitis on 12 May 2025, nine days after presentin…

emergency medicinepsychiatryolanzapine
NSWhospital2019-03-01

Inquest into the death of Stephen Kline

51y · Male·Pulmonary thromboemboli due to deep vein thrombosis on a background of a leg bur…

…tended to 7 days after he swallowed keys (intentional self-harm). Clinical lessons: (1) VTE risk assessment and pharmacological prophylaxis should be reconsidered when anticipated discharge is extended unexpectedly; (2)…

plastic and reconstructive surgerypsychiatrydiagnosticsystemheparin
VIChospital2013-11-18

Finding into death of Sean Raymond Adams

51y · Male·Multiorgan failure in a man with corrected congenital coarctation of the aorta a…

…, 51-year-old male with complex cardiac history including corrected coarctation of aorta, valvular disease, and biventricular heart failure, presented to Alfred Hospital ED with chest pain and dyspnoea. He was diagnosed…

cardiologyemergency medicinecommunicationsystemhaloperidol
NSWhospital2020-11-27

Inquest into the death of Makushla NIKOLAEVSKY

43y · Female·pulmonary embolism

…ound was performed but did not extend above the inguinal ligament. She was reassured after negative imaging and the intrauterine balloons were removed. She collapsed the next morning with massive bilateral pulmonary emb…

gynaecologyvascular surgerydiagnosticpossibly proceduralenoxaparin
SAhospital2011-12-02

Coroner's Finding: BINCH Joyce

82y · Female·acute pyelonephritis complicating base of bladder malignancy

…der mental health legislation. She was admitted with urinary tract infection, anaemia, acute renal failure, and acute exacerbation of schizophrenia. Significant malnutrition (cachexia, 29kg at autopsy) and weight loss c…

psychiatrygeneral medicinerisperidone
SA2025-08-28

Coroner's Finding: RJR

65y · Male·metastatic rectal cancer with extensive lung metastases

… lung metastases while serving a prison sentence. He had presented with rectal bleeding symptoms since 2011 and returned a positive faecal occult blood test in March 2015 recommending colonoscopy. However, he subsequent…

colorectal surgeryoncologyapixaban
QLDhospital2017-10-17

SWK - Non inquest findings

78y · Female·multi-organ failure due to haemorrhage into the abdomen, pelvis and retroperiton…

78-year-old Jehovah's Witness died from multi-organ failure secondary to intra-abdominal and retroperitoneal haemorrhage following extensive anterior and posterior lumbar spinal fusion surgery. The pa…

spinal surgeryorthopaedic surgeryproceduraldiagnosticaramine
SAhospital2011-08-05

Coroner's Finding: SEMMLER Howard Malcolm

60y · Male·cardiorespiratory failure due to malignant pleural effusion due to metastatic ma…

…007 that was initially treated as a diabetic foot ulcer. The lesion failed to heal over 16 months despite standard care including wound dressing, antibiotics, and orthopaedic review. Malignant melanoma was diagnosed onl…

general practiceorthopaedic surgerydiagnosticdelay

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