Coronial

13 results for cholangiogram

VIChospital2017-12-21

Finding into death of Sally Elizabeth Hopwood

57y · Female·Haemothorax following acute thoracic aortic dissection in a woman with congenita…

… the X-ray significance; misattribution of findings to abdominal pathology; missed opportunity when CT cholangiogram revealed lung effusions. Early CT chest imaging would likely have allowed percutaneous stent treatment…

cardiologyemergency medicinediagnosticcommunicationglyceryl trinitrate
VIChospital2012-06-25

Finding into death of Angela Murray

52y · Female·Aspiration pneumonia in a female who had undergone a laparoscopic cholecystectom…

Angela Murray, a 52-year-old woman with intellectual disability, cerebral palsy, and epilepsy, died from aspiration pneumonia following laparoscopic cholecystectomy for cholangitis and cholelithiasis complicated by pancr…

surgerygeneral practice
VIChospital2025-10-28

Finding into death of Kenneth James Anderson

85y · Male·Liver ischaemia and portal vein thrombosis complicating emergency cholecystectom…

Kenneth James Anderson, an 85-year-old man with intellectual disability and multiple comorbidities including diabetes, pancreatitis, and gallstones, died following emergency cholecystectomy for acute cholecystitis with M…

general surgeryintensive careantibiotics
SAhome2014-01-31

Coroner's Finding: ROWAN Marjorie June

52y · Female·ischaemic and hypertensive heart disease

A 52-year-old woman with depression, diabetes, and hypertension died at home from ischaemic and hypertensive heart disease. She was prescribed dothiepin 225mg daily for depression management. Following gallbladder surger…

psychiatrygeneral practicedosulepin
VIChospital2012-12-14

Finding into death of Jeanette Brown

66y · Female·Multi-organ failure associated with haemorrhage and sepsis following cholecystec…

Mrs Jeanette Brown, 66, died from multi-organ failure following post-operative haemorrhage after elective laparoscopic cholecystectomy. Arterial clips applied to the cystic artery during surgery were inadequately secured…

general surgeryanaesthesiaproceduralcommunicationamlodipine
TAShospital2020-04-03

Coroner's Finding: Pears, William Ernest

66y · Male·hepatic failure, intrahepatic sepsis and intrahepatic haematoma secondary to com…

William Ernest Pears died from hepatic failure, intrahepatic sepsis and haematoma following a laparoscopic cholecystectomy in 2012. During surgery for gallstone disease, the right hepatic duct was damaged and repaired, b…

surgerygeneral surgerydiagnosticprocedural
TAShospital2025-04-23

Coroner's Finding: Dow, Vicki Elizabeth

69y · Female·Multiple organ failure due to secondary haemochromatosis (transfusion-associated…

Mrs Vicki Dow, 69, died from multiple organ failure secondary to iron overload (transfusion-associated haemochromatosis) from treatment of myelodysplastic syndrome. She had declined iron chelation therapy for 19 months d…

haematologyemergency medicinecommunicationdiagnosticiron chelation therapy
WAhospital2013-05-01

Inquest into the Death of Squires, John Gregory

47y · Male·Pulmonary thromboembolism in association with deep vein thrombosis

A 47-year-old man from Carnarvon underwent elective laparoscopic cholecystectomy at Geraldton Regional Hospital on 31 August 2009 after a 5-hour coach journey that morning. The VTE Risk Assessment Form correctly classifi…

surgeryanaesthesiadiagnosticdelayheparin
VIChospital2022-02-28

Finding into death of H YR

77y · Female·Haemoperitoneum following cholecystectomy

A 77-year-old woman died from haemoperitoneum (intra-abdominal bleeding) three days after elective laparoscopic cholecystectomy. Bleeding from the left inferior epigastric artery was a recognised surgical complication bu…

general surgeryintensive carediagnosticdelaywarfarin
SAhospital2025-06-12

Coroner's Finding: Salter, Kathleen Ethel

76y · Female·multi-organ failure and sepsis due to complications of cholecystectomy

A 76-year-old woman died from multi-organ failure and sepsis following a laparoscopic cholecystectomy at a rural hospital. During surgery, the surgeon became misoriented in the inflamed surgical field and divided the com…

general surgeryanaesthesiadiagnosticproceduralapixaban
SAhospital2020-10-30

Coroner's Finding: VELT Hank Jakob

65y · Male·ischaemic and hypertensive heart disease with contributing acute cholecystitis (…

A 65-year-old man with hypertension presented with acute cholecystitis, underwent laparoscopic cholecystectomy, and initially recovered well. On post-operative day 7, he experienced chest pain radiating to his jaw. Two E…

general surgerycardiologydiagnosticcommunication
VIChospital2016-09-15

Finding into death of Bernas Hasibuan

50y · Male·gastrointestinal haemorrhage; haemorrhage from cystic artery post laparoscopic c…

A 50-year-old man died from gastrointestinal haemorrhage involving both a cystic artery and duodenal defect following laparoscopic cholecystectomy. Over five days post-surgery, he developed repeated episodes of hypotensi…

general surgeryintensive carediagnosticcommunication
VIChospital2021-07-20

Finding into death of Barry Brown

56y · Male·Internal blood loss, complications arising from laparoscopic cholecystectomy

Barry Brown, a 56-year-old man, died from internal bleeding after laparoscopic cholecystectomy due to critical systemic failures in post-operative care and diagnosis. Following hypotension at 7:30pm, nursing staff failed…

general surgeryintensive carediagnosticcommunicationnoradrenaline

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