Finding into death of Christine Anne Flanagan

62y · Female·Complications arising from elective laparoscopic Hartmann's procedure for recurrent sigmoid volvulus and ileus (ileus and aspiration episodes)

Christine Flanagan, a 62-year-old woman with severe disabilities and gastroparesis, died from complications following an elective laparoscopic Hartmann's procedure for recurrent sigmoid volvulus and ileus. Post-operatively uncomplicated initially, she deteriorated on day 3 with signs of sepsis (diaphoresis, distress, abdominal distension, mottling, poor perfusion), requiring ICU readmission and vasopressor support. The coroner found no circumstances of concern regarding care or treatment provided. Death resulted from post-operative ileus and aspiration complications. The finding emphasises that while surgical intervention was clinically necessary for her poor prognosis condition, post-operative deterioration despite appropriate ICU management led to a decision for comfort care. No clinical errors or preventability issues were identified.