11 results for “endoscopic retrograde cholangiopancreatography”
68y · Male·Hypoxic brain injury and ischaemic heart disease
…e had undergone cholecystectomy in December 2010, complicated by cholecystoduodenal fistula, followed by endoscopic retrograde cholangiopancreatography and stent placement on 31 December 2010. He was discharged on antibi…
32y · Male·Complications of acute pancreatitis
A 32-year-old man with cerebral palsy, intellectual disability, and recurrent gallstone pancreatitis died from complications of acute pancreatitis at a palliative care facility. He had two unsuccessful attempts at surgic…
76y · Female·Aspiration pneumonia and cholangitis; obstructive jaundice from intraduct tumour…
76-year-old woman with cerebral palsy, dysphagia, and PEG feeding died from aspiration pneumonia and cholangitis secondary to an obstructive bile duct tumour. She was admitted with obstructive jaundice and sepsis, underw…
76y · Male·end-stage renal failure
A 76-year-old man died of end-stage renal failure while imprisoned. He had pre-existing hypertension, diabetes, and stage 3 chronic kidney disease. During his final year in custody, he experienced acute kidney injury sup…
66y · Male·hepatorenal failure and biliary sepsis complicating common bile duct obstruction
A 66-year-old man incarcerated in Port Lincoln Prison died from hepatorenal failure and biliary sepsis complicating common bile duct obstruction. He presented with progressive jaundice, dark urine, and signs of liver fai…
94y · Female·Complications of metastatic lobular carcinoma of the breast in a woman with deme…
A 94-year-old woman with advanced dementia and metastatic breast cancer died from complications of her malignancy. She presented repeatedly with vomiting due to duodenal obstruction from metastatic tumour, but this was n…
75y · Female·Complications including acute pancreatitis and refractory intra-abdominal sepsis…
Lee Milcherdy, 75, died from complications including acute pancreatitis and refractory intra-abdominal sepsis following an unnecessary ERCP procedure. An MRCP scan on 12 October 2018 showed no gallstone, making the plann…
76y · Male·Multiple organ failure due to sepsis with peritonitis and pancreatitis, secondar…
A 76-year-old man died from multiple organ failure following an ERCP procedure for gallstone removal. The procedure itself was appropriate and uneventful. Post-operatively, he developed severe abdominal pain and a CT sca…
77y · Male·sepsis due to retroperitoneal collection after biliary stent insertion on a back…
A 77-year-old Aboriginal man died from sepsis following a percutaneous transhepatic cholangiography (PTC) procedure that perforated his duodenum. Critical failures included: delayed diagnosis and treatment of peritonitis…
59y · Female·complications of intra-abdominal sepsis, including multi-organ failure and bowel…
59-year-old woman died from intra-abdominal sepsis, multi-organ failure and bowel perforation following median hepatectomy for cholangiocarcinoma. Key clinical issues included: surgical delays of 20 days between stent in…
53y · Male·Metastatic pancreatic carcinoma
Michael Sanderson, a 53-year-old Gamilaroi man, died from metastatic pancreatic cancer while in custody. Critical clinical lessons emerge: (1) failure to review pathology results within required 14-day timeframe delayed …
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