37y · Male·hypoxic brain injury secondary to cardiac arrest as a result of bowel volvulus
…ith partial bowel obstruction and was discharged after clinical improvement. Upon redevelopment of acute abdominal distension at the residence on 14 May 2012, he suffered cardiac arrest before emergency services arrived…
62y · Female·Stomach perforation complicating recurrent pseudo-obstruction of the bowel
…old woman with intellectual disability and history of recurrent pseudo-obstruction, presented with acute abdominal distension and was admitted to hospital with findings suspicious of perforation. She rapidly deteriorate…
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…
58y · Male·ischaemic bowel; chronic megacolon in the setting of constipation, hypothyroidis…
…ctual disability died from ischaemic bowel secondary to chronic megacolon. He presented to hospital with abdominal distension and underwent CT imaging and sigmoidoscopy showing dilated bowel without clear obstruction. H…
58y · Male·aspiration pneumonia complicating sigmoid volvulus, in a man with multiple scler…
…ultiple sclerosis and recurrent sigmoid volvulus, presented to Box Hill Hospital on 25 January 2023 with abdominal pain and distension. He underwent rectal tube insertion via sigmoidoscopy on 26 January with initial imp…
48y · Female·Aspiration pneumonia in the setting of percutaneous endoscopic gastrotomy (PEG) …
…eathing, and developed complications including vomiting, PEG site infection with purulent discharge, and abdominal distension. Initially treated with oral antibiotics, then upgraded to intravenous antibiotics, but her c…
56y · Male·Complications of clostridium difficile and malnutrition in the setting of cerebr…
…ition. He was admitted to hospital on 21 January 2022 with diarrhoea, elevated inflammatory markers, and abdominal distension following a previous C. difficile infection treated in December 2021. On 23 January, clinicia…
74y · Male·Aspiration of gastric contents due to paralytic ileus following Whipple surgery …
…iple missed opportunities to recognize and manage gastroparesis occurred: on the evening of 1 March when abdominal distension and respiratory distress were attributed to ileus without consideration of NGT reinsertion; a…
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…
59y · Male·Massive aspiration in the setting of intubation following complications of sever…
… of unknown aetiology. He had documented constipation managed with laxatives, then developed progressive abdominal distension, reduced oral intake, and fever. A MET call was initiated for tachycardia and tachypnoea; he …
0y · Male·Hypoxic ischaemic encephalopathy secondary to post-operative respiratory distres…
…d to verify endotracheal tube positioning: continuous capnography was disconnected during resuscitation, abdominal distension suggesting possible oesophageal intubation was not adequately investigated, and the tube's po…
82y · Female·Peritonitis due to leakage of bowel contents from bowel anastomosis following el…
…rred on discharge day (10 March 2023): clinicians did not recognize her deterioration despite increasing abdominal distension, elevated white cell count, and reported pain; family concerns were dismissed rather than esc…
51y · Female·Complications of metastatic ovarian carcinoma
…rom complications of metastatic ovarian carcinoma in March 2009. She presented with nausea, vomiting and abdominal distension caused by tumour-related bowel obstruction. Following family consultation, a palliative appro…
61y · Female·Peritonitis due to anastomotic leak at gastrectomy site; pathological obesity as…
…n injury. Clinical lessons include: difficulty detecting post-operative deterioration in obese patients (abdominal distension may not be apparent, classic peritonitis signs may be absent); the importance of communicatio…
42y · Male·Aspiration pneumonia complicating small bowel ileus in a man with cerebral palsy
…with cerebral palsy and epilepsy living in supported accommodation, presented to hospital with vomiting, abdominal distension and pain on 21 October 2019. Investigations revealed small bowel obstruction (ileus). Despite…
63y · Male·Aspiration pneumonitis with contributing conditions of ischaemic gut, dysphagia …
…of aspiration pneumonitis following admission to hospital with a choking episode, vomiting, lethargy and abdominal distension. Imaging revealed portal venous gas suggestive of bowel ischaemia. He was not deemed suitable…
59y · Female·Complications of a pseudo-obstruction on a background of previous anterior resec…
… disability, dementia, schizophrenia, depression, and chronic bowel dysmotility. Admitted July 2024 with abdominal distension, she underwent flexible sigmoidoscopy, colonoscopy with colostomy formation, and experienced …
62y · Female·Complications arising from elective laparoscopic Hartmann's procedure for recurr…
…ratively uncomplicated initially, she deteriorated on day 3 with signs of sepsis (diaphoresis, distress, abdominal distension, mottling, poor perfusion), requiring ICU readmission and vasopressor support. The coroner fo…
71y · Male·Aspiration in setting of paralytic ileus in patient in convalescent phase of abd…
…ld man died from aspiration complicating prolonged paralytic ileus on postoperative day 9 following open abdominal aortic aneurysm repair. Despite clinical signs of persistent ileus (vomiting, abdominal distension, abno…
79y · Female·pneumonia in the setting of acute peritonitis due to perforated stomach (operate…
… 11 September 2008 for weight loss prior to hernia repair. On 30 January 2009, she presented with severe abdominal pain and vomiting. CT imaging confirmed gastric outlet obstruction from the balloon. Despite this, her g…
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