Coronial

21 results for gastric haemorrhage

QLDhospital2011-06-10

Conlan, Kathleen Anne

70y · Female·Cardiac arrest caused by a combination of gastric haemorrhage and pneumonia exac…

Mrs Kathleen Anne Conlan, 70, died from cardiac arrest caused by gastric haemorrhage and pneumonia on a background of coronary artery disease. She presented with severe epigastri…

emergency medicinesurgerydelaymorphine
NThospital2004-01-16

Inquest into the death of Souzana Afianos

41y · Female·secondary haemorrhage following gastric banding surgery

A 41-year-old enrolled nurse died from secondary haemorrhage eight days after laparoscopic gastric banding surgery in Darwin. She attended ED on 18 February with po…

general surgeryemergency medicinecommunicationsystemparacetamol/codeine
NSWhospital2019-04-04

Inquest into the death of Ahmed RIZK

49y · Male·Complications of metastatic gastric adenocarcinoma

Ahmed Rizk, a 49-year-old man in custody, died from complications of metastatic gastric adenocarcinoma. He presented with abdominal pain and constipation on 10 August 2017, was investigated at …

gastroenterologyoncology
WAhospital2001-04-12

Inquest into the Death of Margaret Patton Brooks

43y · Female·Haemorrhage Associated with Penetrations of the Aorta

Margaret Brooks, a 43-year-old woman, died from haemorrhage associated with aortic penetrations during laparoscopic gastric band insertion at Kaleeya Hospital on 8…

general surgeryanaesthesiaprocedural
WAhospital2015-09-18

Inquest into the Death of David Yehuda WEISER

70y · Male·gastrointestinal haemorrhage in a man with gastric ulcers

…d a haemoglobin of 92 g/L and elevated urea/creatinine ratio (32.0/208), diagnostic of gastrointestinal haemorrhage. Despite these findings and the patient's reported melaena, Dr H. diagnosed gastroenteritis and dischar…

emergency medicinegastroenterologydiagnosticcommunicationaspirin
WAcommunity2005-06-09

Inquest into the Death of Richard Stanley Tauwhare

25y · Male·gastro-intestinal haemorrhage due to erosive gastritis in association with acute…

Richard Stanley Tauwhare, a 25-year-old male, died on 10 February 2002 from gastro-intestinal haemorrhage due to erosive gastritis in association with acute-on-chronic amphetamine toxicity. He had consumed a l…

methamphetamine
VIChospital2014-08-29

Finding into death of Noella Rae Clohesy

62y · Female·Multi-organ failure due to lacerated abdominal aorta complicating laparoscopic b…

…ied from multi-organ failure caused by a lacerated abdominal aorta sustained during elective laparoscopic gastric band surgery in 2006. The aorta was cut by a Visiport trocar blade at the start of the procedure. Althoug…

general surgeryanaesthesiaproceduralcommunication
QLDhospital2016-02-29

Mr B - Non-inquest findings

84y · Male·Acute myocardial infarction precipitated by upper gastrointestinal haemorrhage f…

…ban cannot be monitored or reversed, unlike warfarin. He developed upper gastrointestinal bleeding from a gastric ulcer, possibly exacerbated by concurrent use of a naturopathic cherry juice product and rivaroxaban. Sym…

cardiologyhaematologymedicationcommunicationrivaroxaban
ACThome2003-12-23

Inquest Into The Manner And Cause Of Death Of Neil Summerell

34y · Male·extensive blood loss from acute gastric erosions following severe scalding of th…

… a 34-year-old man with intellectual disability, epilepsy, and vision/hearing impairment, died from acute gastric erosions following severe scalding injuries sustained on 29 November 1999. He was scalded to 17.5% of his…

emergency medicinegeneral practicesystemcommunication
QLDhome2005

Shaw, Lillian Margaret

67y · Female·perforated gastric ulcer; morphine toxicity also made a significant contribution

… pain and potentially masking symptoms of perforation. The patient died 2.5 hours later from a perforated gastric ulcer, with morphine toxicity significantly contributing. Key failures: inadequate examination and diagno…

general practicegastroenterologydiagnosticmedicationtramadol
WAhospital2005-03

Inquest into the Death of Bert Sharpe

58y · Male·Gastrointestinal haemorrhage due to erosive gastritis

Bert Sharpe, aged 58, died from gastrointestinal haemorrhage due to erosive gastritis at Sir Charles Gairdner Hospital on 19 April 2004. He had been an involuntary …

psychiatrygeneral surgery
SAhospital2010-10-25

Coroner's Finding: CAMERON Louise Cherise

32y · Female·ischaemic heart disease complicated by upper gastrointestinal haemorrhage

…est and ECG. She died the next day from acute coronary thrombosis complicated by upper gastrointestinal haemorrhage. Critical omissions included: failure to perform a rectal examination despite clear signs of gastrointe…

emergency medicinecardiologydiagnosticproceduralmorphine
WAhospital2023-03-30

Inquest into the Death of Hugh WARD

89y · Male·Complications of cerebrovascular accident (stroke); specifically a catastrophic …

…ticoagulation therapy to prevent embolic stroke against his high gastrointestinal bleeding risk following gastric ulcers and his frequent falls. His anticoagulant (apixaban) was withheld from July 2021 onwards due to bl…

neurologycardiologycommunicationsystemwarfarin
TAShospital2019-04-18

Coroner's Finding: Kenney, Margaret Patricia

83y · Female·upper gastrointestinal bleed with haemodynamic compromise following anticoagulat…

…r documented as withheld, despite no clear clinical rationale. The coroner accepted expert opinion that a gastric or duodenal ulcer causing the fatal haemorrhage would likely have been prevented had PPI therapy continue…

general medicinecardiologymedicationdiagnosticpantoprazole
SAhospital2005-02-01

Coroner's Finding: WALPOLE Gary Frederick

49y · Male·small intestinal infarction due to mesenteric and portal vein thrombosis associa…

…forensic pathologist noted treatment of this condition is exceptionally difficult—anticoagulation risks haemorrhage while haemostasis allows thrombosis progression. No preventable errors were identified, though the fami…

gastroenterologyhaematology
NSWhome2025-01-17

Inquest into the death of BG

0y · Male·Concussive brain injury

…ther's partner in a domestic violence context. The child had multiple bruises, bite marks, and subdural haemorrhages. A critical failure occurred when the Department of Communities and Justice (DCJ) received a Risk of S…

forensic medicinepaediatricssystemcommunication
QLDhome2014-07-28

Copeland, Alison Ruth - Non-inquest findings

55y · Female·Plastic bag suffocation

… suffocation after living with severe physical disability and depression since suffering a subarachnoid haemorrhage in 1995. She had made multiple suicide attempts over 16 years. The central clinical issue was the syste…

psychiatryneurologysystemdelaytemazepam
VIChospital2016-05-17

Finding into death of Trendafil Petrovski

78y · Male·head injury sustained when struck by a car

A 78-year-old man with a history of gastric cancer, depression, and splenectomy was struck by a car while crossing a street in Sydenham. He sustained…

trauma surgeryneurosurgerymorphine
SAhospital2011-08-05

Coroner's Finding: LEONARD Emily Ruth and HILLMAN Glenys Anne

Female·Emily Ruth Leonard: multi-organ failure due to overwhelming sepsis from a perfor…

Two elderly women died following vaginal prolapse surgery performed by the same surgeon, Dr O., with similar mechanisms: bowel perforation leading to peritonitis and sepsis. Mrs Leonard (77) underwent laparoscopic surger…

gynaecologyintensive carediagnosticproceduralheparin
VICcommunity2010-08-06

Finding into death of Lauren Katherine James

26y · Female·Complications of liposuction surgery: sepsis, decreased respiratory function sec…

Lauren James, a 26-year-old woman, died from complications of elective liposuction surgery performed on 19 January 2007. She presented to the clinic on 22 January with severe pain and asymmetrical swelling of her left th…

plastic and reconstructive surgerygeneral practicediagnosticcommunicationpethidine

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