Coronial

30 results for bowel adhesions

TAShospital2016-06-27

Coroner's Finding: Mr P

64y · Male·Small bowel infarction due to a volvulus owing to adhesions in the small intesti…

…tal's Emergency Department in October 2012 with severe central abdominal pain. The ED consultant diagnosed bowel obstruction but failed to consider critical complications such as strangulation, perforation, and peritoni…

emergency medicinegeneral surgerydiagnosticdelay
VIC2024-04-18

Finding into death of Timothy Michael Funder

74y · Male·Small bowel obstruction due to extensive intra-abdominal adhesions

…hy Funder, a 74-year-old man with schizophrenia, chronic obstructive pulmonary disease, and previous small bowel obstruction, died from small bowel obstruction due to extensive intra-abdominal adhesions. He presented wi…

psychiatrygeneral practicediagnosticdelayclozapine
TAShospital2021-02-03

Coroner's Finding: Boon Alison Kim

51y · Female·peritoneal sepsis with multiple organ failure due to perforation of bowel by for…

…l disability and schizoaffective disorder died from peritoneal sepsis and multiple organ failure caused by bowel perforation from a wooden stick. The stick entered her body via her vaginal canal. She presented with abdo…

general surgerycolorectal surgerydiagnostic
VIChospital2019-08-30

Finding into death of Agostino Cutugno

57y · Male·Small bowel perforation complicating small bowel obstruction arising from intra-…

… 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. Care was fragmented across five loc…

general surgeryintensive carecommunicationsystemproton pump inhibitors
SAhospital2000-07-21

Coroner's Finding: HOWIESON Julie Ann

43y · Female·sepsis secondary to extensive acute peritonitis following perforation of small b…

43-year-old woman died from sepsis and necrotising fasciitis following small bowel perforation during laparoscopic tubal ligation. She was at high risk due to previous abdominal surgeries a…

gynaecologyanaesthesiadiagnosticdelay
VICcommunity2014-12-08

Finding into death of Gerard Alexander Tibballs

66y · Male·Peritonitis secondary to bowel perforation from small bowel obstruction caused b…

…esented 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., identified a small bowel obstruction and a…

general practiceradiologycommunicationdelaymetoclopramide
VIChome2014-03-17

Finding into death of Marcus Michael Christopher Charles

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 du…

emergency medicineparamedicinediagnosticcommunicationranitidine
SAhospital2016-09-01

Coroner's Finding: CORBO Antonio

90y · Male·bowel obstruction leading to acute renal failure, sepsis and respiratory failure

A 90-year-old man with advanced dementia and multiple comorbidities died from bowel obstruction causing acute renal failure, sepsis, and respiratory failure. He had recently been placed in a…

emergency medicinegeriatric medicine
TAShospital2019-04-18

Coroner's Finding: Fulham, Julianne

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…

general practicegastroenterologydiagnosticcommunication
TAShospital2014-03-14

Coroner's Finding: Little, Neita Jean

79y · Female·aspiration pneumonia caused by aspiration of emesis secondary to small bowel obs…

Mrs Little, 79, died from aspiration pneumonia caused by small bowel obstruction post-hysterectomy surgery. The obstruction resulted from both pre-existing adhesions and a pos…

gynaecologyanaesthesiadiagnosticcommunicationrivaroxaban
NThospital2018-09-21

Inquest into the death of David Fensom

67y · Male·multi-organ failure due to septic shock consequent on faecal peritonitis due to …

…d abdominal pain post-operatively. A laparoscopy on 8 October misinterpreted findings and missed ischaemic bowel—a critical diagnostic error. The expert review identified a 48-hour delay before appropriate laparotomy on…

general surgeryemergency medicinediagnosticcommunicationfentanyl
SAhospital2005-06-03

Coroner's Finding: SORENSEN Ruth Bengta Maria

69y · Female·faecal peritonitis due to small bowel obstruction and perforation due to periton…

…diagnosis. She deteriorated rapidly and died at home the next morning from faecal peritonitis due to small bowel obstruction and perforation from peritoneal adhesions. The coroner found the standard of care was seriousl…

emergency medicinesurgerydiagnosticcommunicationprochlorperazine
SAhospital2011-08-05

Coroner's Finding: LEONARD Emily Ruth and HILLMAN Glenys Anne

Female·Emily Ruth Leonard: multi-organ failure due to overwhelming sepsis from a perfor…

…men died following vaginal prolapse surgery performed by the same surgeon, Dr O., with similar mechanisms: bowel perforation leading to peritonitis and sepsis. Mrs Leonard (77) underwent laparoscopic surgery on 30 Octob…

gynaecologyintensive carediagnosticproceduralheparin
NSWhospital2010-12-21

Coroner's Finding: Joan Dennison

78y · Female·sepsis and aspiration with metabolic dysfunction as a result of mechanical small…

…vember 2007 with a misdiagnosis 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…

emergency medicinegeneral surgerydiagnosticcommunicationmetoclopramide
TAShospital2023-04-03

Coroner's Finding: RS - de-identified

1y · Female·infarction and volvulus of the small intestine due to adhesion from prior nephre…

…he child was initially treated in the waiting area without documented observations for over 5 hours. Small bowel obstruction was suspected at 4:45am but imaging was delayed and initially appeared normal. Critical diagno…

emergency medicinepaediatricsdiagnosticsystem
ACThospital2024-09-16

Inquest Into The Death Of Sharyn Kaine

73y · Female·Multi organ failure due to adhesions related bowel perforation (surgically treat…

Sharyn Kaine, a 73-year-old woman, died from multi-organ failure due to adhesions-related bowel perforation and paracetamol-induced liver failure. She was prescribed intravenous paraceta…

general surgeryanaesthesiamedicationtranscriptionparacetamol
QLDhospital2016-07-08

Talbot, James Patrick

87y · Male·Strangulated small bowel due to adhesions from previous abdominal surgery

…n. Within 24 hours, nursing staff observed a distended abdomen and bile-stained vomiting—clinical signs of bowel obstruction. Despite these findings being documented and communicated verbally at handover, the informatio…

general medicinenephrologydiagnosticcommunicationondansetron
VIChospital2018-08-27

Finding into death of Bevan James Murrowood

56y · Male·Complications of a small bowel obstruction

…ction, but subsequently deteriorated with tachypnoea and tachycardia. Post-mortem imaging revealed a small bowel obstruction with air-fluid levels but no identifiable cause (likely adhesions). The clinical lesson is tha…

general practiceemergency medicinediagnosticmacrogol
VIChospital2010-06-23

Finding into death of Faye Gwynneth Lancashire

68y · Female·Presumed septic shock with multiple organ failure secondary to acute suppurative…

A 68-year-old woman died from septic shock and multi-organ failure secondary to acute suppurative appendicitis complicated by recent peritoneal adhesion division. Admitted on 31 March 2005 with acute abdominal pain, she …

general surgeryanaesthesiagelofusin
NSWhospital2018-06-06

Inquest into the death of Dr Malay Rana

27y · Male·Loss of airway control and blockage due to aspiration from complications of a sm…

… 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 lessons in…

respiratory medicinegeneral surgerycommunicationdiagnosticfentanyl

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