Coronial

17 results for abdominal drain insertion

WAhospital2018-06-14

Inquest into the Death of Anne RZEPCZYNSKI

59y · Female·complications of intra-abdominal sepsis, including multi-organ failure and bowel…

59-year-old woman died from intra-abdominal sepsis, multi-organ failure and bowel perforation following median hepatectomy for cholangiocarcinoma. K…

general surgeryintensive carediagnosticdelayantibiotics
WAhospital2021-03-26

Inquest into the Death of Cyril CHURCHILL

68y · Male·surgical complications following laparoscopic cholecystectomy for cholecystitis,…

…st-operative shock; FAST scans have significant limitations and are unreliable in post-operative settings; drain settings must be verified; effective communication and leadership during MET calls are critical; and when …

general surgeryanaesthesiadiagnosticcommunication
SAhospital2026-06-19

Coroner's Finding: Clancy, Carmen Jayne

37y · Female·sepsis secondary to rectosigmoid perforation on a background of metastatic squam…

Carmen Jayne Clancy, aged 37, died on 27 September 2022 from sepsis secondary to rectosigmoid perforation caused by metastatic cervical cancer. Incarcerated on home detention following a cancer diagnosis in 2021, she und…

oncologycolorectal surgerypsyllium
VIChome2014-04-17

Finding into death of Rodney Mark Moore

45y · Male·Sudden death of unascertained cause, occurring eight days after laparoscopic cho…

A 45-year-old man died unexpectedly 8 days after an uncomplicated laparoscopic cholecystectomy. Post-mortem examination found approximately 1 litre of blood in the peritoneal cavity. Pathologists could not determine when…

general surgeryanaesthesiaesomeprazole
QLDhospital2015-07-08

Hamilton, Michael John - Non-inquest findings

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…

surgeryintensive carediagnosticsystemwarfarin
SAcommunity2017-12-18

Coroner's Finding: WILSON Jason

40y · Male·drowning

…e River Murray while evading police questioning regarding a minor theft. He had recently undergone major abdominal surgery (partial gastrectomy, pancreatic duct stenting) for a bleeding duodenal ulcer two months prior a…

general surgerygastroenterology
NSWhospital2019-12-19

Inquest into the death of Lesley ARNDELL

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

Lesley Arndell, aged 61, died from multi-organ failure due to abdominal sepsis after undergoing a Whipple's procedure for pancreatic cancer. Key clinical lessons include: (1) p…

general surgeryintensive caremedicationcommunicationpiperacillin/tazobactam
QLDhospital2007-10-29

Cvitic, Nardia Annett

30y · Female·Multi-organ failure due to multiple transfusions required for post-operative ble…

…istration. Dr C. then discovered the actual source: a lacerated external iliac vein, likely injured by the drain trochar on 11 February and tamponaded until dislodged on 14 February. Critical failures included: failure …

oncologygeneral surgerydiagnosticmedicationheparin
TAShospital2019-04-16

Coroner's Finding: Hill, Phillip John

82y · Male·sepsis due to faecal peritonitis due to suture failure of bowel anastomosis foll…

…roceeded without incident. Five days post-operatively, he developed symptoms of bowel leak (hiccoughing, abdominal distension, vomiting, confusion) but diagnosis was delayed because he lacked typical sepsis markers (nor…

colorectal surgerygeneral surgerydelayamiodarone
SAhospital2007-02-07

Coroner's Finding: ROBBINS Amy Louise

16y · Female·intra-abdominal haemorrhage due to ruptured spleen

A 16-year-old girl died from intra-abdominal haemorrhage due to ruptured spleen following a car rollover. She was transported by ambulance to the nea…

trauma surgeryemergency medicinesystemdelay
SAhospital2019-06-12

Coroner's Finding: NGUYEN An Hoang Le

4y · Male·acute lymphoblastic leukaemia

… boy, died from acute lymphoblastic leukaemia with CNS involvement. He presented with a 4-day history of abdominal pain, lethargy, fever, and respiratory symptoms at Royal Darwin Hospital where leukaemia was diagnosed. …

haematologyintensive carechemotherapy
QLDhospital2021-07-26

Saunders, Cary James

57y · Male·Intracerebral haemorrhage due to ruptured mycotic aneurysm due to infective endo…

…ndocarditis caused by Streptococcus mitis. He presented with non-specific symptoms (nausea, weight loss, abdominal pain) initially attributed to gastrointestinal pathology or malignancy. Appropriate investigations were …

cardiologyinfectious diseasesampicillin
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
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
VIChome2013-11-27

Finding into death of Andrew Gilmore

17y · Male·intra-abdominal haemorrhage complicating partial pancreatectomy for traumatic pa…

…ng surgeon despite recurrent post-operative pain in a complex case. Andrew collapsed and died from intra-abdominal haemorrhage (1400ml) from likely splenic artery breakdown due to pancreatic juice erosion—a rare complic…

general surgeryemergency medicinecommunicationdelayoxycodone
SAhospital2005-11-10

Coroner's Finding: LAZOPOULOS Christopher

34y · Male·multi-organ failure with right-sided tension pneumothorax

…th a ruptured spleen and fractured ribs presented to the Emergency Department on multiple occasions with abdominal and chest pain. He was discharged on 28 February, 5 March and 6 March without admission despite clear in…

emergency medicineintensive carediagnosticsystem
WAhospital2023-11-02

Inquest into the Death of Bradley James Raymond STINSON

66y · Male·Cardiac arrhythmia in a man with arteriosclerotic cardiovascular disease, pulmon…

Bradley Stinson, a 66-year-old prisoner with a long history of heavy smoking and alcohol use, died from cardiac arrhythmia in the setting of arteriosclerotic cardiovascular disease, pulmonary thromboembolism, and metasta…

palliative careoncologyproceduralsystemoxycodone

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