74y · Male·Small bowel obstruction due to extensive intra-abdominal adhesions
… disease, and previous small bowel obstruction, died from small bowel obstruction due to extensive intra-abdominal adhesions. He presented with vomiting, abdominal cramping, and bloating at 1:30am at his supported resid…
72y · Male·Multiple organ failure due to sepsis caused by abdominal adhesions from previous…
Michael Hamilton, 72, presented with acute abdominal pain post-bladder surgery while anticoagulated with warfarin. Initial assessment suspected duodenal perf…
57y · Male·Small bowel perforation complicating small bowel obstruction arising from intra-…
…stino Cutugno, a 57-year-old prisoner with intellectual disability (IQ 55) and history of self-inflicted abdominal stab wounds, died from small bowel perforation complicating obstruction due to intra-abdominal adhesions…
51y · Female·peritoneal sepsis with multiple organ failure due to perforation of bowel by for…
…el perforation from a wooden stick. The stick entered her body via her vaginal canal. She presented with abdominal pain on 15 May 2018 and underwent emergency laparotomy; initial surgery missed the bowel perforation due…
64y · Male·Small bowel infarction due to a volvulus owing to adhesions in the small intesti…
…, aged 64, presented to Royal Hobart Hospital's Emergency Department in October 2012 with severe central abdominal pain. The ED consultant diagnosed bowel obstruction but failed to consider critical complications such a…
43y · Female·sepsis secondary to extensive acute peritonitis following perforation of small b…
…llowing small bowel perforation during laparoscopic tubal ligation. She was at high risk due to previous abdominal surgeries and adhesions. A 4-5mm perforation occurred during the procedure but was not detected intraope…
69y · Female·faecal peritonitis due to small bowel obstruction and perforation due to periton…
A 69-year-old woman presented to the Emergency Department with abdominal pain and vomiting. The doctor did not take adequate history, perform thorough physical examination, or o…
66y · Male·Peritonitis secondary to bowel perforation from small bowel obstruction caused b…
…-old man with a history of appendectomy presented with vomiting and diarrhoea. His GP, Dr D., ordered an abdominal X-ray on 23 June 2010, suspecting bowel obstruction but did not mark it urgent. The radiologist, Dr T., …
90y · Male·bowel obstruction leading to acute renal failure, sepsis and respiratory failure
…tion for cardiac and respiratory issues. He presented to hospital with coffee-ground vomiting and severe abdominal pain. Clinical examination revealed critical illness with haemodynamic instability, hypoxia, peritonism,…
87y · Male·Strangulated small bowel due to adhesions from previous abdominal surgery
…ed, no nurse accompanied the physician, and he did not read nursing notes. The physician did not perform abdominal examination and ordered a CT head instead of abdominal imaging. The patient subsequently aspirated and d…
68y · Female·Presumed septic shock with multiple organ failure secondary to acute suppurative…
…ve appendicitis complicated by recent peritoneal adhesion division. Admitted on 31 March 2005 with acute abdominal pain, she underwent laparoscopic adhesiolysis but no appendicectomy was performed despite febrile sympto…
Female·Emily Ruth Leonard: multi-organ failure due to overwhelming sepsis from a perfor…
…injury risk. Key clinical lessons: careful consideration of surgical approach in patients with extensive adhesions; heightened vigilance for early peritonitis signs post-complex abdominal surgery; appropriate drain plac…
0y · Male·Complications of small bowel obstruction due to post operative adhesions
Marcus Charles, a 3-month-old neonate, died from small bowel obstruction due to postoperative adhesions following earlier surgical repair of oesophageal atresia and duodenal atresia. On 4 November 2006, param…
58y · Female·Ischaemic small bowel due to bowel obstruction most likely due to a combination …
Mrs Fulham, aged 58, died from ischaemic small bowel due to obstruction from adhesions and Crohn's disease recurrence. On 22 November, she presented to GP with two weeks of diarrhoea, vomitin…
67y · Male·multi-organ failure due to septic shock consequent on faecal peritonitis due to …
…ective fundoplication for hiatus hernia and reflux on 21 September 2010. He developed severe right-sided abdominal pain post-operatively. A laparoscopy on 8 October misinterpreted findings and missed ischaemic bowel—a c…
1y · Female·infarction and volvulus of the small intestine due to adhesion from prior nephre…
…d initially appeared normal. Critical diagnosis of small bowel infarction due to volvulus (from surgical adhesions) was missed, delaying transfer to Royal Hobart Hospital until 1:46pm. By then the child was in shock and…
78y · Female·sepsis and aspiration with metabolic dysfunction as a result of mechanical small…
…s of constipation, despite clinical and imaging features diagnostic of small bowel obstruction caused by abdominal adhesions from previous surgery. She had presented with vomiting, anorexia, weight loss, and x-ray findi…
27y · Male·Loss of airway control and blockage due to aspiration from complications of a sm…
Dr R., a 27-year-old physician with cystic fibrosis, died from aspiration and airway blockage secondary to a small bowel obstruction whilst under dual respiratory-surgical care at Westmead Hospital. Critical clinical les…
56y · Male·Complications of a small bowel obstruction
…ortem imaging revealed a small bowel obstruction with air-fluid levels but no identifiable cause (likely adhesions). The clinical lesson is that bowel obstruction should be considered in patients with vomiting and deter…
62y · Female·Hypovolaemic and cardiogenic shock (hysterectomy) in the context of cardiomegaly…
…-anaesthetic clinic and surgical team regarding investigation results. The cervical stenosis and complex adhesions encountered should have prompted consideration of conversion to open surgery earlier. Had platelets been…
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