31y · Female·Ruptured splenic artery aneurysm with extensive retroperitoneal and intraperiton…
…woman at 32 weeks gestation, presented to the Royal Women's Hospital with sudden-onset severe left-sided abdominal pain and hypotension on 21 March 2010. She was assessed by registrar Dr F. and covering specialist Dr L.…
80y · Female·Haemoperitoneum/retroperitoneal haematoma due to rupture of the abdominal aorta …
…emia, and metabolic acidosis. Resuscitation failed and she died. Autopsy revealed a ruptured infra-renal abdominal aortic aneurysm with massive haemoperitoneum and retroperitoneal haematoma. The aneurysm had been docume…
53y · Female·infarction of the transverse colon due to mesenteric/retroperitoneal haemorrhage…
… woman with schizophrenia died from transverse colon infarction secondary to mesenteric/retroperitoneal haemorrhage and incisional abdominal hernia during anticoagulation therapy. She was admitted to hospital with delir…
4y · Male·Intra-abdominal injuries from blunt force trauma (ruptured duodenum and lacerate…
Tyrell Cobb, a 4-year-old boy, died from intra-abdominal injuries caused by blunt force trauma inflicted on two separate occasions between 22-24 May 2009. Postmo…
45y · Male·Intra Abdominal Haemorrhage Associated with Metastatic Carcinoma of the Oesophag…
Reginald Brian O'Neill, a 45-year-old sentenced prisoner at Karnet Prison Farm, died from intra-abdominal haemorrhage associated with metastatic oesophageal carcinoma on 6 December 2003. In late November 2003, …
Female·massive intra-abdominal haemorrhage caused by injuries to her right common iliac…
…e Clarke, a patient undergoing treatment for ectopic pregnancy, died on 30 April 2009 from massive intra-abdominal haemorrhage caused by injuries to her right common iliac artery and vein sustained during laparoscopic s…
85y · Male·cerebellar haemorrhage due to hypertension
An 85-year-old man died in custody from cerebellar haemorrhage due to hypertension. He was in the palliative care unit following an advanced care directive refusing r…
72y · Male·hypovolemic shock due to haemoperitoneum following surgical repair of an abdomin…
A 72-year-old man died from hypovolemic shock due to intra-abdominal haemorrhage following Spigelian hernia repair. Post-operatively he presented with hypotension, bradycard…
3y · Female·Complications of blunt force trauma to the abdomen
A 3-year-old child died from catastrophic abdominal trauma caused by her mother's partner deliberately stepping on her abdomen with his full body weight (~1…
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…
Male·ruptured spleen
…ation, rider equipment, or motorcycle condition. This case illustrates the rapidly fatal nature of major abdominal trauma with splenic rupture and the limited salvageability of such injuries even with prompt CPR initiat…
1y · Male·Blunt force abdominal trauma; laceration of spleen with intra-abdominal haemorrh…
A 14-month-old Aboriginal boy died from blunt force abdominal trauma with a splenic laceration on 13 January 2019. He had multiple injuries documented at autopsy incl…
89y · Female·Injuries sustained in motor vehicle collision (pedestrian)
…ansferred to Royal Melbourne Hospital where she developed rapid atrial fibrillation and persistent intra-abdominal bleeding. Given her age, injuries, and clinical deterioration, the trauma team determined she was not a …
75y · Female·Haemorrhage due to chest and abdominal injuries sustained in motor vehicle colli…
Grace Thompson, 75, died from haemorrhage due to chest and abdominal injuries sustained in a head-on motor vehicle collision on 29 June 2010. The…
16y · Male·Internal haemorrhage due to closed chest and abdominal injuries sustained in mot…
Todd Best, aged 16, died from internal haemorrhage following blunt chest and abdominal trauma sustained when struck by a police vehicle while evading cust…
43y · Male·intra-abdominal haemorrhage due to traumatic rupture of splenic blood vessels du…
…3-year-old man with Wilson's disease requiring wheelchair mobility and residential care, died from intra-abdominal haemorrhage due to splenic vessel rupture following a fall in his bathroom on 24 February 2007. He was m…
74y · Male·Intra-abdominal haemorrhage complicating elective umbilical hernia repair
…tively, he developed hypotension and was transferred to ICU. The coroner found that post-operative intra-abdominal haemorrhage was not recognised early enough. Critical factors included: over-reliance on a single haemog…
57y · Female·Intra-abdominal Haemorrhage following Appendectomy, with contributing factor of …
…on operating on friable tissues with limited visibility. Post-operatively, mesenteric tears caused intra-abdominal haemorrhage (1600mls), but this was misdiagnosed as septic shock. The locum doctor managing post-operati…
56y · Male·intra-abdominal haemorrhage due to splenic rupture due to blunt force injury to …
David Michael Clarke, aged 56, died from intra-abdominal haemorrhage due to splenic rupture following blunt force injury to his back. The fatal injury occurred a…
35y · Male·intra-abdominal haemorrhage caused by ruptured spleen
… referral. The patient had a subcapsular splenic haematoma which ruptured 13 hours later causing massive abdominal haemorrhage and death. Critical failings: no vital signs recorded, no abdominal examination performed, n…
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