Coronial
VIChospital2011-09-22

Finding into death of Leanne Fiona MacKenzie

48y · Female·abdominal sepsis in a woman with coronary artery disease, post-repair small bowe…

…d with Prader-Willi syndrome and intellectual disability, underwent laparotomy for incarcerated incisional hernia on 3 April 2011 at Latrobe Regional Hospital with initial repair but poor postoperative progress. She deve…

general surgeryintensive care
TAShospital2024-11-07

Coroner's Finding: Flynn, Christine Joy

68y · Female·haemopericardium resulting from perforation of the pericardial sac during laparo…

…ristine Flynn, aged 68, died from haemopericardium and pericardial tamponade following laparoscopic hiatus hernia repair. A 2mm perforation of the pericardial sac occurred during surgery, likely from mesh tacks placed ne…

general surgerycardiothoracic surgeryprocedural
SAhospital2010-09-27

Coroner's Finding: ORMEROD Madison Hayley

4y · Female·consequences of incarcerated congenital left diaphragmatic hernia

Madison Ormerod, aged 4 years, died from incarcerated congenital left diaphragmatic hernia. Over 3 months before death, she presented with persistent vomiting and abdominal pain to her GP and paedi…

general practicepaediatricsdiagnosticdelay
VIChospital2016-06-24

Finding into death of Wendy Elizabeth Pennycuick

65y · Female·Aspiration pneumonia following emergency laparotomy for incarcerated umbilical h…

…llectual disability, congenital blindness, diabetes, and epilepsy presented with an incarcerated umbilical hernia requiring emergency surgery. Post-operative aspiration occurred in recovery with subsequent aspiration pne…

colorectal surgeryintensive care
SAhospital2009-11-25

Coroner's Finding: WILMAN Joyce Millicent (aka Bracegirdle)

62y · Female·gastric necrosis and perforation due to strangulated diaphragmatic hernia

Joyce Wilman, 62, died from gastric necrosis and perforation due to strangulated para-oesophageal hernia whilst detained under Mental Health Act at Queen Elizabeth Hospital. She presented with vomiting and abdom…

psychiatrygastroenterologydiagnosticcommunication
QLDaged care2017-05-03

Biffin, Albert Eric

86y · Male·Cardiac arrest triggered by electrolyte imbalance and sepsis secondary to compli…

… significant comorbidities died in a low-care nursing home from complications of an incarcerated umbilical hernia with bowel ischaemia, sepsis, and cardiac arrhythmia. His GP examined him briefly (10-15 minutes) without …

general practicesurgerydiagnosticcommunicationmacrogol
VIChospital2013-07-29

Finding into death of Beverley Pattinson

70y · Female·Severe dehydration and renal complications secondary to intestinal obstruction d…

…old woman presented to a rural hospital with 48 hours of vomiting and dehydration secondary to an inguinal hernia obstruction. The initial assessment by the hospital medical officer failed to adequately review ambulance …

emergency medicinegeneral practicediagnosticcommunicationmetoclopramide
VIChospital2016-07-26

Finding into death of Malcolm Colin Vincent

57y · Male·Small bowel ischaemia (operated) with incarcerated umbilical hernia

…ccommodation, presented to hospital with acute abdominal pain and was found to have incarcerated umbilical hernia with small bowel ischaemia requiring emergency surgery. He died from multiple organ failure despite resect…

emergency medicinesurgery
NThospital2015-02-19

Inquest into the death of Desmond Tilmouth

50y · Male·myocardial infarction caused by coronary atherosclerosis

…coronary atherosclerosis complicated by end-stage renal disease and an incarcerated strangulated umbilical hernia. He died in custody at Alice Springs Hospital shortly after emergency hernia repair surgery. Despite pre-e…

surgeryanaesthesiaoxycodone
VIChospital2024-05-10

Finding into death of Peter Fiorakis

72y · Male·Complications of small bowel obstruction in a man with multiple medical co-morbi…

…ellectual disability, schizophrenia, recurrent DVT, cardiomegaly, COPD, ischaemic heart disease and hiatus hernia, presented to Austin Hospital with nausea, vomiting and decreased appetite. CT imaging revealed high-grade…

general medicinesurgery
TAScommunity2022-09-08

Coroner's Finding: Walker, Gary Wayne

42y · Male·Traumatic asphyxia due to motor vehicle accident

…o lose control and overturn. Walker was not wearing his seatbelt, likely due to pain from a right inguinal hernia diagnosed in March 2020 awaiting surgery. He was ejected from the cab and became trapped under the overtur…

forensic medicinegeneral practice
NSWhospital2016-06-09

Inquest into the death of William MacDONALD

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

…r-old prisoner, died from complications of gastrointestinal obstruction caused by an incarcerated inguinal hernia. He presented to Prince of Wales Hospital with severe abdominal pain, nausea, and vomiting on 11 May 2015.…

general surgerygeneral medicine
WAhospital2013

Inquest into the Death of Kerr, William

86y · Male·Acute Myocardial Ischaemia in an Elderly Man with Valvular and Ischaemic Heart D…

…86-year-old man with atrial fibrillation, ischaemic heart disease and hypertension underwent left inguinal hernia repair under general anaesthesia at a regional hospital. He experienced a small acute myocardial infarctio…

anaesthesiageneral surgerycommunicationdiagnosticglyceryl trinitrate
VIChome2025-09-17

Finding into death of Robert John Robinson

74y · Male·Pulmonary thromboembolism in the setting of deep leg vein thrombosis

…ear-old man died from pulmonary thromboembolism with deep vein thrombosis 10 days after elective umbilical hernia repair. He received appropriate VTE prophylaxis (mechanical and pharmacological) intraoperatively and one …

surgeryanaesthesiacommunicationenoxaparin
SAhospital2003-03-14

Coroner's Finding: MOUSTAKOS Erini

53y · Female·infarction of the transverse colon due to mesenteric/retroperitoneal haemorrhage…

…m transverse colon infarction secondary to mesenteric/retroperitoneal haemorrhage and incisional abdominal hernia during anticoagulation therapy. She was admitted to hospital with delirium; an organic cause (UTI) was fou…

psychiatrygeneral medicinewarfarin
VIChospital2021-02-10

Finding into death of MRWilson

43y · Male·Liver failure with cirrhosis in the setting of recent paracentesis and Hepatitis…

…d Aboriginal man with end-stage liver cirrhosis and hepatitis C who died 18 days after emergency umbilical hernia repair and one day after paracentesis drainage of 8 litres of ascites at a rural hospital. While his death…

gastroenterologyhepatologycommunicationmorphine
TAShome2020-05-15

Coroner's Finding: Hunter, Feryne Gaylene

75y · Female·Airway obstruction due to aspiration occluding a permanent tracheostomy

…omy. She had a history of subglottic stenosis, asthma, and gastro-oesophageal reflux disease with a hiatus hernia. Despite district nursing care three times weekly and two ambulance attendances on 11-12 September 2017, M…

paramedicinegeneral practicecommunication
VIChospital2017-03-27

Finding into death of Peter Heng Dowe Chiam

77y · Male·Cerebral infarction (stroke) complicating elective hernia repair

A 77-year-old man with atrial fibrillation on warfarin underwent elective hernia repair. Warfarin was appropriately ceased five days pre-operatively. Post-operatively, warfarin was recomm…

cardiothoracic surgeryanaesthesiacommunicationsystemwarfarin
TAShospital2018-12-05

Coroner's Finding: Suckling, James William

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 misinte…

surgeryemergency medicinediagnosticcommunicationmetaraminol
WAhome2017-02-17

Inquest into the Death of Christine Pearl STRONER

69y · Female·unascertained

…ed of an unascertained cause on the evening of discharge following laparoscopic cholecystectomy and hiatus hernia repair at Fremantle Hospital. She was observed at 2pm with tachycardia (HR 111) and pain (10/10), given ox…

general surgerycardiologydocumentationcommunicationoxycodone

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