20 results for “exploratory surgery”
49y · Male·Metastatic cholangiocarcinoma
…arged. Subsequent investigations revealed obstructive jaundice, gallstones, and advanced liver disease. Exploratory surgery and imaging identified unresectable metastatic cancer. The coroner found no evidence of inadequ…
52y · Male·pulmonary thromboembolism due to pancreatic contusion and necrosis from motorcyc…
…when his motorcycle struck a rock while negotiating a corner. He was transported to hospital, underwent exploratory laparotomy and returned to theatre for re-look and drain adjustment. Initial recovery appeared good; ho…
73y · Male·sepsis due to ischemic gut due to occlusion of the superior mesenteric artery
…4:45am—over 4 hours later—when surgical staff reviewed the scan. This delay meant the patient underwent exploratory laparotomy at Launceston General Hospital (LGH) rather than proceeding directly to Royal Hobart Hospita…
74y · Male·Intra-abdominal haemorrhage complicating elective umbilical hernia repair
…ted an unrecognised coagulopathy risk. Earlier recognition and aggressive management might have allowed exploratory laparotomy and bleeding control.
81y · Female·ischaemic bowel
An 81-year-old woman with longstanding depression and multiple comorbidities fell and fractured her humerus in March 2009. During rehabilitation, she became increasingly depressed and self-neglectful, refusing food and c…
88y · Male·Multiple injuries sustained in a motor vehicle collision (pedestrian)
…r spine fractures, aortic transection, haemopneumothorax, and subarachnoid haemorrhage. Despite emergency surgery including pelvic fixation and aortic repair, he developed bilateral subdural haematomas. The neurosurgica…
58y · Female·Haemorrhagic shock complicating pulmonary thromboembolism in the setting of deep…
A 58-year-old woman with obesity (BMI 38) sustained a metatarsal fracture and was treated with a below-knee plaster cast by her GP. Despite appropriate initial assessment and consultation with a haematologist regarding V…
66y · Female·Multi-organ failure associated with haemorrhage and sepsis following cholecystec…
…emorrhage after elective laparoscopic cholecystectomy. Arterial clips applied to the cystic artery during surgery were inadequately secured using a multi-use applicator and subsequently displaced, causing significant bl…
67y · Female·Intra-abdominal sepsis complicating an anastomotic leak following elective surge…
…67-year-old woman died from intra-abdominal sepsis following an anastomotic leak from elective colorectal surgery to repair a vesico-colic fistula. The initial surgery on 1 November 2017 was appropriately performed, and…
72y · Male·hypovolemic shock due to haemoperitoneum following surgical repair of an abdomin…
A 72-year-old man died from hypovolemic shock due to intra-abdominal haemorrhage following Spigelian hernia repair. Post-operatively he presented with hypotension, bradycardia and sweating. ECG changes were misinterprete…
74y · Female·empyema/sepsis complicating oesophageal perforation following a complicated elec…
…tive hernia repair in November 2016 at a regional hospital. An unexpected colon tumour was removed during surgery. She subsequently developed a faecal leak from the colon anastomosis requiring surgical repair. Criticall…
74y · Male·Sepsis secondary to fistulating Crohn's disease and post-surgery complications f…
…hristopher Essery, a 74-year-old man with complex fistulating Crohn's disease, died from sepsis following surgery on 24 January 2019. He was transferred to Princess Alexandra Hospital (PAH) on 31 August 2018 for special…
71y · Male·Complications following a right hepatic artery injury following an open cholecys…
A 71-year-old man with myelofibrosis and prior abdominal surgery died from complications of a right hepatic artery injury during open cholecystectomy for acute cholecysti…
65y · Male·Severe neutropenic sepsis and multi-organ failure secondary to severe mucositis …
A 65-year-old man with stage 3 rectal cancer died from severe neutropenic sepsis and multi-organ failure secondary to probable dihydropyrimidine dehydrogenase (DPD) deficiency when treated with capecitabine chemotherapy.…
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…
16y · Male·mid-gut volvulus and bowel obstruction, leading to ischaemic bowel and related c…
…yed CT imaging interpretation, and failure to escalate to surgical consultation until 9pm resulted in his surgery commencing at 11:38pm. The 7+ hour delay meant extensive bowel had become ischaemic and non-viable. Altho…
79y · Male·complications of peritonitis
A 79-year-old man with multiple comorbidities presented with a perforated bowel requiring emergency Hartmann's procedure. The operating surgeon, Dr L.-Ming Schmidt, made a catastrophic surgical error by exteriorising the…
24y · Male·Peritonitis secondary to a perforation of the small bowel
…ns during one-to-one care. The clinical lesson is that suspected bowel injury requires either immediate exploratory surgery or strict close observation with senior review within hours. Drug intoxication should not delay…
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…
2y · Unknown·Hypoxic-ischaemic encephalopathy following sepsis related to abdominal surgical …
BCT was a 2-year-old Aboriginal child with complex needs from a genetic disorder (CAMTA1 mutation) who died from hypoxic-ischaemic encephalopathy following sepsis related to bowel perforation after a percutaneous endosco…
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