Coronial
WAhospital2022-06-23

Inquest into the Death of Lee MILCHERDY

75y · Female·Complications including acute pancreatitis and refractory intra-abdominal sepsis…

…luding acute pancreatitis and refractory intra-abdominal sepsis following an unnecessary ERCP procedure. An MRCP scan on 12 October 2018 showed no gallstone, making the planned ERCP inappropriate. However, this critical …

gastroenterologygeneral surgerycommunicationdiagnostic
SAhospital2025-05-20

Coroner's Finding: Foster, Stephen John

74y · Male·acute on chronic liver failure complicating common bile duct cholangiocarcinoma …

…ated bilirubin, and constitutional symptoms in April 2022 prompted appropriate imaging and referral. CT and MRCP confirmed bile duct cancer. He underwent percutaneous transhepatic cholangiography in May and right hemi-he…

correctional healthsurgery
TAShospital2022-03-18

Coroner's Finding: Campbell, Nancy

82y · Female·sepsis with septic shock due to ascending cholangitis

…t orders, died from sepsis with septic shock due to ascending cholangitis. She had gallstones identified on MRCP during psychiatric admission but was deemed high-risk for elective cholecystectomy and discharged without s…

psychiatrygeneral medicineantipsychotic medication
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

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