Coronial

19 results for gastrointestinal obstruction

NSWhospital2016-06-09

Inquest into the death of William MacDONALD

90y · Male·Complications arising from a gastrointestinal obstruction; incarcerated inguinal…

William MacDonald, a 90-year-old prisoner, died from complications of gastrointestinal obstruction caused by an incarcerated inguinal hernia. He presented to Prince of Wales Hospital with …

general surgerygeneral medicine
WAmental health2020-08-06

Inquest into the Death of Stephen Michael KELL

35y · Male·acute vomit aspiration in a man with acute large intestine obstruction (severe m…

…hizophrenia, died at Graylands Hospital from acute vomit aspiration in the setting of acute large bowel obstruction and clozapine-induced gastrointestinal hypomotility. Despite appropriate psychiatric care and clozapine…

psychiatrygastroenterologysystemdelayclozapine
VIChospital2023-04-27

Finding into death of Gary Ronald Burgess

59y · Male·Massive aspiration in the setting of intubation following complications of sever…

…ventable, but identified that non-psychiatric staff may have had lower awareness of clozapine-induced gastrointestinal complications. Recommendations focus on state-wide implementation of improved monitoring protocols, s…

psychiatrygeneral medicinesystemcommunicationclozapine
VIChospital2019-08-30

Finding into death of Agostino Cutugno

57y · Male·Small bowel perforation complicating small bowel obstruction arising from intra-…

…55) and history of self-inflicted abdominal stab wounds, died from small bowel perforation complicating obstruction due to intra-abdominal adhesions. Care was fragmented across five locations over 19 days with multiple …

general surgeryintensive carecommunicationsystemproton pump inhibitors
VIChospital2025-02-21

Finding into death of Douglas George Coyle

62y · Male·Complications of likely sepsis in the setting of a pseudo bowel obstruction in a…

…rschsprung's disease, intellectual disability, and epilepsy, died from sepsis complicating pseudo bowel obstruction. He presented to hospital on 15 June with shortness of breath, reduced oral intake, and black-stained s…

general practiceemergency medicinedelay
VIChospital2019-04-02

Finding into death of Bevan John Stevens

73y · Male·Aspiration pneumonia complicating sigmoid volvulus in a man with Down syndrome

…with Down syndrome and dysphagia have increased aspiration risk, particularly when experiencing acute gastrointestinal obstruction with respiratory symptoms. Early recognition and appropriate management of sigmoid volvul…

general medicinegastroenterologyceftriaxone
SAhospital2022-03-30

Coroner's Finding: Dunn, Julie Michele

56y · Female·sepsis secondary to disseminated pancreatic adenocarcinoma

… of sepsis secondary to disseminated pancreatic adenocarcinoma. She had presented months earlier with gastrointestinal symptoms (weight loss, nausea, vomiting, epigastric burning) initially attributed to relapse of eatin…

general medicineoncologydiagnostictramadol
VIChospital2017-05-04

Finding into death of Wayne David Baldi

48y · Male·sepsis in the setting of aspiration pneumonia and bowel obstruction

…ctual disability living in supported care, died from sepsis secondary to aspiration pneumonia and bowel obstruction. He presented to hospital with abdominal pain and aspiration pneumonia, was initially discharged, then …

emergency medicinegeneral medicinelidocaine
VIChospital2017-12-07

Finding into death of Waisele Qalubau

39y · Male·Complications of large bowel pseudo-obstruction

…e illness, hepatic cirrhosis, and substance abuse history died from complications of large bowel pseudo-obstruction with aspiration pneumonia. He had been admitted involuntarily for acute psychosis and underwent manual …

psychiatrygastroenterologyclozapine
VIChospital2015-03-25

Finding into death of Rodney Soffer

58y · Male·ischaemic bowel; chronic megacolon in the setting of constipation, hypothyroidis…

…ith abdominal distension and underwent CT imaging and sigmoidoscopy showing dilated bowel without clear obstruction. He was discharged after initial admission but returned within days with worsening distension and died …

colorectal surgeryemergency medicinemidazolam
VIChospital2025-01-08

Finding into death of Frank Kastelic

61y · Male·Epilepsy

Frank Kastelic, a 61-year-old NDIS participant with epilepsy residing in Specialist Disability Accommodation, died from epilepsy following a two-week hospital admission at Monash Medical Centre. He suffered a prolonged a…

neurologygeneral medicine
VIChospital2012-02-27

Finding into death of Lawrence George Noyes

72y · Male·pneumonia in a man with metastatic colon cancer

Lawrence Noyes was a 72-year-old man serving a prison sentence who presented with metastatic colon cancer. He underwent surgery including palliative bypasses and later a gastrostomy and jejunostomy for nutritional suppor…

colorectal surgeryoncologychemotherapy
NSWhospital2012-06-14

Beverly ann murphy finding & recommendations 0701 08

70y · Female·Hypoxic/Ischaemic Encephalopathy consequent upon Cardiorespiratory Arrest and Co…

…ry was complicated by iatrogenic small bowel perforations. Post-operatively, wound dehiscence and bowel obstruction developed, requiring return to theatre on 12 April for repair, though perforations were not initially r…

gynaecologyoncologydiagnosticcommunication
VIChospital2012-08-24

Finding into death of Cameron Yeates

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 lesso…

gastroenterologygeneral practicecommunicationsystemwarfarin
VIChospital2013-08-13

Finding into death of Thelma Katherine Holt

79y · Female·pneumonia in the setting of acute peritonitis due to perforated stomach (operate…

…anuary 2009, she presented with severe abdominal pain and vomiting. CT imaging confirmed gastric outlet obstruction from the balloon. Despite this, her gastroenterologist advised against urgent removal, citing lack of e…

gastroenterologygeneral surgerydiagnosticproceduralsertraline
TAScommunity2022-07-29

Coroner's Finding: Chamberlain, Pamela Jacqueline

55y · Female·asphyxia due to choking on food (steak)

A 55-year-old woman with multiple comorbidities including morbid obesity, schizophrenia, depression, and substance use disorder died from asphyxia caused by choking on food while at a friend's home in supported accommoda…

emergency medicinepsychiatrysystemcommunicationdiazepam
TAShospital2022-12-15

Coroner's Finding: Mather, Robert Andrew

80y · Male·asphyxia due to choking on food

…ing significant weight loss, unattended for 5+ years by GP, bladder distension (3750 ml urine), urinary obstruction from enlarged prostate causing paralytic ileus increasing aspiration risk. The coroner found medical ca…

psychiatrygeriatric medicineantipsychotic medications
WAhospital2014-08-29

Inquest into the Death of Daniel LAHENGKING

66y · Male·multiple organ failure associated with the combined effects of complications of …

…exate. He was later hospitalized with severe immunosuppression, triggering tuberculosis reactivation, gastrointestinal bleeding and sepsis. Although the immediate methotrexate toxicity resolved, subsequent complications …

general practicepharmacydiagnosticmedicationmethotrexate
NThospital2004-02-11

Inquest into the death of Robert Dalgleish

57y · Male·Multiple organ failure in consequence of peritonitis resulting from complication…

Robert Douglas Dalgleish died from multiple organ failure due to peritonitis resulting from complications of gastric banding surgery. He presented to the ED on 18 July 2002 with abdominal pain and vomiting. Dr B. appropr…

surgerygeneral surgerydiagnosticcommunication

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