Coronial

57 results for bowel perforation

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
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
VIChospital2016-06-07

Finding into death of Linda Tucker

62y · Female·Stomach perforation complicating recurrent pseudo-obstruction of the bowel

…ion, presented with acute abdominal distension and was admitted to hospital with findings suspicious of perforation. She rapidly deteriorated and died from stomach perforation complicating pseudo-bowel obstruction. The …

emergency medicinesurgeryclonazepam
NSWhospital2020-06-12

Inquest into the death of Dat Nhieu HA

45y · Male·abdominal sepsis on a background of metastatic lung carcinoma

A 45-year-old man with advanced metastatic lung cancer died from abdominal sepsis secondary to bowel perforation while imprisoned. He presented with respiratory symptoms in January 2019, was diagnosed with t…

respiratory medicineoncology
VIChospital2016-05-12

Finding into death of Kevin Stanley Margetts

63y · Male·Bowel obstruction

A 63-year-old man with severe intellectual disability, quadriplegia, and blindness died from bowel obstruction with sepsis. On 5 September 2015, carers noted cough and eating difficulties. A locum doctor v…

general practiceemergency medicinedelaysodium citrate enema
VIChospital2011-09-22

Finding into death of Leanne Fiona MacKenzie

48y · Female·abdominal sepsis in a woman with coronary artery disease, post-repair small bowe…

…itonitis and was transferred to Northern Hospital on 4 April. She died of abdominal sepsis caused by small bowel perforation following hernia repair, complicated by underlying coronary artery disease. The coroner found …

general surgeryintensive care
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
VIChospital2024-09-24

Finding into death of Jessica Nyla Louis

32y · Female·Perforation of the bowel in the context of constipation and intellectual disabil…

…, a 32-year-old non-verbal woman with intellectual disability and Opitz Trigonocephaly Syndrome, died from bowel perforation secondary to severe constipation and pica (compulsive ingestion of non-food items). She presen…

surgeryemergency medicine
VICaged care2024-01-11

Finding into death of Phyllis Joan Porter

72y · Female·Large rectal prolapse and ischaemic bowel

…an with intellectual disability residing in aged care presented with a large rectal prolapse and ischaemic bowel. She was found on the floor of her room with a prolapse containing approximately 80cm of non-viable small …

emergency medicinesurgeryfluoxetine
VIChospital2025-01-08

Finding into death of Winfried Medenbach

65y · Male·Middle cerebral artery stroke in a man with multiple medical co-morbidities

…nbach, a 65-year-old man with tuberous sclerosis, severe intellectual disability, epilepsy, and history of bowel complications, died from a middle cerebral artery stroke. He had been admitted to hospital in late October…

general surgeryinfectious diseaseshyoscine butylbromide
NThospital2010-10-29

Inquest into the death of Carl Francis Walker

65y · Male·peritonitis and necrosis of the bowel following a ruptured appendix

A 65-year-old prisoner with severe triple-vessel coronary artery disease died from peritonitis and bowel necrosis following an appendectomy. Initial surgery for perforated appendicitis was technically difficult …

general surgerycardiologysystem
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
ACThospital2026-05-12

Inquest into the death of Mr Deleman

69y · Male·peritonitis due to perforated bowel

…appropriate psychiatric and medical care during his admission, he developed peritonitis secondary to large bowel perforation, complicated by Clostridium bacteraemia and hepatocellular carcinoma. He was transferred to IC…

emergency medicinegastroenterologypaliperidone
SAhospital2010-12-30

Coroner's Finding: D'AGOSTINO Antonia

59y · Female·sepsis due to faecal peritonitis due to perforation of sigmoid colon complicatin…

A 59-year-old woman died from sepsis due to faecal peritonitis following a bowel perforation during laparoscopic oophorectomy for a benign ovarian cyst. The perforation was repaired durin…

gynaecologygeneral surgerydiagnosticdelaypethidine
NSWhome2017-12-01

Inquest into the death of AF

3y · Female·peritonitis caused by small bowel perforation due to blunt force trauma

A 3-year-old girl died from peritonitis caused by small bowel perforation. Expert evidence established the perforation resulted from blunt force trauma, not natural dis…

paediatric surgerypaediatricscommunicationsystemparacetamol
VIChospital2011-08-31

Finding into death of Barry Wilson Howroyd

78y · Male·Complications of bowel surgery; specifically post-operative chest infection and …

Barry Howroyd, a 78-year-old man, underwent routine colonoscopy on 7 August 2008 which complicated a known bowel carcinoma diagnosis. The procedure caused bowel perforation, diagnosed the next day via CT imaging. Surgic…

gastroenterologygeneral surgerycommunicationsystem
VIChospital2023-02-22

Finding into death of John Robert Clay

68y · Male·Stercoral perforation in a man with cerebral palsy

John Robert Clay, a 68-year-old man with cerebral palsy, died from stercoral perforation following severe constipation and faecal impaction. He had multiple complex disabilities including quad…

general practicegastroenterology
QLDhospital2007-08-26

Fitter, Maureen

60y · Female·Cardiac tamponade due to ruptured heart due to total parenteral nutrition due to…

…used by TPN fluid leaking into the pericardium through a PICC line inserted to provide nutrition following bowel surgery. The PICC line was inserted under image intensification with appropriate technique and placement a…

colorectal surgerygastroenterologytotal parenteral nutrition
VIChospital2024-10-29

Finding into death of Jennifer Ann Grieves

70y · Female·Perforated diverticulitis

… later with haematemesis. She was admitted and stabilised but deteriorated further, with imaging revealing bowel perforation. Given her advance directives (Do Not Resuscitate order and Medical Power of Attorney), surgic…

emergency medicinegeneral medicinepantoprazole
VIChospital2016-07-14

Finding into death of Ross Albert Butler

67y · Male·Faeculent peritonitis due to perforation of a sigmoid volvulus

…onservative management was continued, but he deteriorated and died from faeculent peritonitis secondary to bowel perforation. Critical clinical lessons include: (1) comprehensive abdominal assessment documentation by nu…

general surgeryemergency medicinecommunicationdocumentationmorphine

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