44y · Male·aspiration and intellectual disability
…in a community residential unit. He had been prescribed a laxative and enema for constipation after having faecal loading identified. He subsequently vomited twice and developed shallow, rapid breathing leading to respir…
47y · Female·Large intestinal infarction due to volvulus
…from large intestinal infarction secondary to volvulus (twisting of bowel). She was admitted with presumed faecal loading causing bowel obstruction but developed sigmoid volvulus with haemorrhagic infarction. She had kno…
32y · Female·Perforation of the bowel in the context of constipation and intellectual disabil…
Jessica Louis, 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)…
89y · Male·combination of biochemical consequences of colonic pseudo-obstruction and faecal…
An 89-year-old man with multiple comorbidities including previous colon cancer died from faecal impaction and stercoral colitis. He resided in a residential aged care facility (RACF) where staff failed …
38y · Male·abdominal and chest sepsis complicating iatrogenic left pneumothorax and laparot…
…llowing iatrogenic pneumothorax and emergency laparotomy for small bowel obstruction. He was admitted with faecal loading and proctitis, deteriorated with small bowel obstruction requiring emergency surgery. Post-operati…
84y · Female·small bowel obstruction due to gallstone ileus
…d to the ED twice within 48 hours with abdominal pain and diarrhoea. Both times investigations showed only faecal loading without obvious obstruction, and she was discharged after conservative management. She presented a…
72y · Male·Complications of small bowel obstruction in a man with multiple medical co-morbi…
…maging revealed high-grade small bowel obstruction, large paraoesophageal hiatus hernia, and marked rectal faecal loading. Clinicians identified multiorgan failure including acute kidney injury and aspiration pneumonia. …
58y · Male·complications of large bowel pseudo-obstruction
…from hospital after inadequate assessment. He had presented to the ED with lower abdominal pain and severe faecal loading (bowel dilation 19cm). Despite a critical admission one year prior requiring ICU and manual disimp…
68y · Male·Stercoral perforation in a man with cerebral palsy
…, a 68-year-old man with cerebral palsy, died from stercoral perforation following severe constipation and faecal impaction. He had multiple complex disabilities including quadriplegia, dysphagia, and epilepsy, managed b…
48y · Male·sepsis and renal failure due to perforated gastric ulcer
…arance, found lying outside his home. Despite worsening pain throughout the afternoon, imaging showed only faecal loading and constipation was diagnosed. A ruptured pyloric ulcer causing peritonitis was not recognised un…
69y · Female·Aspiration pneumonia in a woman with intellectual disability
Elizabeth Geiger, a 69-year-old woman with intellectual disability living in a disability group home, died from aspiration pneumonia after presenting with constipation. She was seen by her GP on 24 July 2017 who examined…
53y · Female·Bronchopneumonia on a background of cerebral palsy
Melissa Dibble, aged 53, died from bronchopneumonia in the context of cerebral palsy, spastic quadriplegia, cortical blindness and progressive dysphagia due to aspiration. She was admitted to The Alfred Hospital on 27 Au…
38y · Male·multi organ failure secondary to intestinal ischaemia from toxic megacolon relat…
A 38-year-old man with chronic schizophrenia died from multi-organ failure secondary to intestinal ischaemia caused by toxic megacolon from severe constipation. He was a detained patient on Clozapine and Oxybutamin, both…
8y · Male·ischaemic bowel due to strangulated small bowel obstruction secondary to congeni…
…s not recognised or escalated. Key failures included: premature closure and anchoring bias on constipation/faecal loading; inadequate fluid balance documentation masking vomiting severity; failure to seek senior surgical…
59y · Male·Urosepsis and aspiration pneumonia (with Trisomy 21 as underlying condition)
Donald Raymond Muir, a 59-year-old man with Trisomy 21, non-verbal autism, dementia and epilepsy living in specialist disability accommodation, died of urosepsis and aspiration pneumonia. He had experienced progressive f…
56y · Male·Complications of clostridium difficile and malnutrition in the setting of cerebr…
Mr C was a 56-year-old man with cerebral palsy and acquired brain injury who died from complications of Clostridioides difficile infection and malnutrition. He was admitted to hospital on 21 January 2022 with diarrhoea, …
31y · Male·Acute colonic pseudo-obstruction; death certificate amended to 'unascertained' -…
Cameron Yeates, a 31-year-old man with intellectual disability (IQ 64) and longstanding gastrointestinal issues, died from acute colonic pseudo-obstruction with underlying malnourishment. Key clinical lessons: (1) severe…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.