11 results for “emergency diagnostic laparoscopy”
67y · Male·multi-organ failure due to septic shock consequent on faecal peritonitis due to …
…nia and reflux on 21 September 2010. He developed severe right-sided abdominal pain post-operatively. A laparoscopy on 8 October misinterpreted findings and missed ischaemic bowel—a critical diagnostic error. The expert…
53y · Female·sepsis and multiple organ failure attributable to infarction/necrosis of small b…
…e for 25+ hours. The CT scan at 9:00 AM failed to identify the occluded SMA. The patient underwent a non-diagnostic laparoscopy at 6:00 PM. Diagnosis was made at a radiology meeting at 8:30 AM on 20 August—36 hours after…
48y · Female·Pneumonia on a background of subacute bowel obstruction secondary to metastatic …
…ns during her November 2022 presentation. The Coroners Prevention Unit reviewed care and found no missed diagnostic opportunities—the borderline anaemia and mild iron deficiency were not typical for iron deficiency anaem…
59y · Female·sepsis due to faecal peritonitis due to perforation of sigmoid colon complicatin…
…r failed. The patient deteriorated at home and was readmitted. The primary issue was delay in performing emergency re-operation: the patient was scheduled for surgery at 9am but not operated until 8am the following day,…
72y · Male·Complications of a gastroduodenal perforation (palliated) in the setting of mult…
…e fluid and pneumoperitoneum. After discussion with family, a palliative approach was chosen rather than diagnostic laparoscopy or surgery, as these were deemed unlikely to improve quality of life. William was managed wi…
40y · Male·Aspiration pneumonia
…rtion. Ketamine was administered for sedation, he vomited and aspirated during tube placement, requiring emergency intubation. Despite seven weeks of ICU care with comprehensive multidisciplinary investigation and treat…
13y · Male·Peritonitis secondary to ruptured gangrenous acute appendicitis
Luca Raso, a healthy 13-year-old boy, died from peritonitis secondary to ruptured gangrenous acute appendicitis after being misdiagnosed with viral gastroenteritis by his GP on two consultations (22 and 24 February 2017)…
47y · Male·Pulmonary thromboembolism in association with deep vein thrombosis
…ded thromboprophylaxis, but surgical staff considered him low-risk based on the minimal invasiveness of laparoscopy. He developed progressive oxygen desaturations (80-90%) on 1 September requiring supplemental oxygen, w…
54y · Male·Bowel ischaemia resulting from acute thrombosis of superior mesenteric artery an…
Anthony Barrett died from bowel ischaemia caused by acute thrombosis of his superior mesenteric artery and coeliac artery stents post-operatively. He had undergone left total knee replacement surgery at Fairfield Hospita…
64y · Male·necrotising fasciitis precipitated by a fishbone perforating his rectum, leading…
James Tranby, a 64-year-old Indigenous diabetic prisoner, presented with a fish bone lodged in his rectum on 3 December 2008. Following removal on 5 December, he developed progressive sepsis leading to necrotising fascii…
<1y · Female·hypoxic-ischaemic encephalopathy attributed to intrapartum asphyxia secondary to…
Aurora Sleep died from hypoxic-ischaemic encephalopathy caused by uterine rupture during labour induction with prostaglandin gel. Her mother had a perforated uterus from a D&C procedure 9 months earlier. The coroner foun…
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