Coronial

25 results for intestinal surgery

SAhospital2004-02-13

Coroner's Finding: CUCUK Radomir

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…

psychiatryemergency medicineclozapine
VIChospital2012-12-05

Finding into death of Sharon Lee McDonald

47y · Female·Large intestinal infarction due to volvulus

Sharon Lee McDonald, a 47-year-old woman with Down syndrome, died from large intestinal infarction secondary to volvulus (twisting of bowel). She was admitted with presumed faecal loading caus…

gastroenterologygeneral medicinediagnosticlactulose
SAhospital2016-09-29

Coroner's Finding: MCSHANE Robert Ian

66y · Male·Multi-system failure and ischaemic gut after left nephrectomy complicated by mas…

…el following laparoscopic left nephrectomy complicated by massive haemorrhage and vascular injury. During surgery for renal carcinoma, the surgeon attempted to control bleeding from an unidentified vessel using a laparo…

urologyvascular surgeryproceduralsurgical judgment
SAaged care2016-08-22

Coroner's Finding: SCHULZ Bertha Anna

89y · Female·Multiple organ failure with cachexia on a background of chronic lower limb ulcer…

…deration of amputation, conservative wound management was pursued as clinicians deemed her unsuitable for surgery. The inquest was mandatory due to her death occurring under guardianship (death in custody), not due to c…

geriatric medicinegeneral medicine
TAShospital2024-10-10

Coroner's Finding: Hill, James Fredrick

74y · Male·small intestinal ischaemia caused by aortic atherosclerosis

…ically ill with septic shock and multiple organ failure. By then, his entire small intestine was dead and surgery could not save him. Key failures included: not investigating the cause of hypotension, normalising low bl…

emergency medicineorthopaedic surgerydiagnosticcommunication
SAhospital2013-08-27

Coroner's Finding: BALNAVES Craig Henri

43y · Male·ischaemic small intestine due to incarceration of bowel in a mesenteric defect

Craig Henri Balnaves, a 43-year-old man with treatment-resistant schizophrenia detained at Glenside Hospital under mental health orders, died from ischaemic small intestine due to bowel incarceration in a congenital mese…

general surgerypsychiatryantacid
VIChospital2019-06-17

Finding into death of Baby L

0y · Female·OEIS Complex (Omphalocoele, Exstrophy of Cloaca, Imperforate Anus, Spinal Defect…

…ct was incompatible with life—the large abdominal wall defect caused lethal fluid losses, renal failure, intestinal failure, and sepsis risk. Surgical repair was deemed impossible due to defect size, and even if feasible…

neonatologypaediatric surgery
WAhospital2016-10-24

Inquest into the Death of David WAYMOUTH

47y · Male·Multi organ failure and sepsis complicating ulcerating colitis and intestinal ob…

David Waymouth, a 47-year-old prisoner with extensive medical comorbidities including hepatitis C, obesity, chronic pain requiring methadone, and depression, fell from his bed in prison and sustained a right hip fracture…

orthopaedic surgerygeneral surgerymethadone
NSWhospital2019-03-22

Inquest into the death of Patrick THOMAS

52y · Male·Intestinal failure/sepsis arising from venous ischemia as a result of superior m…

Patrick Thomas, a 52-year-old man, died from intestinal failure and sepsis following an accidental division of the superior mesenteric vein (SMV) during laparos…

colorectal surgeryintensive carecommunicationsystem
WAhospital2022-03-28

Inquest into the Death of Morgan John EDWARDS

31y · Male·Complications in association with intestinal volvulus

…res following discharge. When finally re-admitted the following afternoon, he was critically unwell with intestinal volvulus, sepsis and pneumonia. He died despite emergency surgery preparation. Key failures included: ab…

emergency medicinegastroenterologydiagnosticcommunication
VIChospital2024-05-21

Finding into death of Murray Noel Haggar

65y · Male·Complications following a malignant bowel obstruction in a man with multiple com…

Murray Noel Haggar, a 65-year-old man with cerebral palsy and intellectual disability living in specialist disability accommodation, died from complications of malignant bowel obstruction. He presented with chronic const…

colorectal surgerypalliative care
NThospital2010-10-29

Inquest into the death of Carl Francis Walker

65y · Male·peritonitis and necrosis of the bowel following a ruptured appendix

…essel coronary artery disease died from peritonitis and bowel necrosis following an appendectomy. Initial surgery for perforated appendicitis was technically difficult but competently performed. Post-operative complicat…

general surgerycardiologysystem
WAhospital2023-06-29

Inquest into the Death of Child R (Name Subject to Suppression Order)

11y · Female·Complications of E. coli sepsis in association with intestinal obstruction due t…

…017 with severe abdominal pain and vomiting. She died 12 hours later from E. coli sepsis associated with intestinal obstruction due to faecal impaction of megacolon. Critical delays in management included: a three-hour d…

paediatricsemergency medicinediagnosticcommunicationmacrogol
SAhospital2003-03-28

Coroner's Finding: BUTLER Irene

72y · Female·haemorrhage from penetrating duodenal ulcer

…year-old woman collapsed at home and was admitted with black bowel motions (melaena) suggestive of gastrointestinal bleeding. This crucial history was documented by the ED doctor but not properly acted upon by the admitt…

emergency medicinegeneral medicinediagnosticcommunicationaspirin
VIChospital2014-10-02

Finding into death of Penrin John Maxworth Halliday

60y · Male·Ischaemic gut secondary to superior mesenteric artery dissection complicating in…

…ry disease presented with acute myocardial infarction, requiring emergency stenting and subsequent bypass surgery. An intra-aortic balloon pump (IABP) was inserted for haemodynamic support. During IABP removal on post-o…

cardiologycardiothoracic surgery
TAShospital2024-08-05

Coroner's Finding: Whitney, David Ian

73y · Male·sepsis due to ischemic gut due to occlusion of the superior mesenteric artery

A 73-year-old man presented with acute severe abdominal pain caused by superior mesenteric artery (SMA) occlusion. Initial CT angiogram at 12:30am was reported as normal; the SMA occlusion was not identified until 4:45am…

emergency medicineradiologydiagnosticcommunication
WAhospital2020-12-01

Inquest into the Death of Tahlia Rose BEMBRIDGE

4y · Female·volvulus of the large intestine

…ing RFDS transfer, she deteriorated acutely with septic shock. Post-mortem revealed caecal volvulus with intestinal ischaemia. The coroner found care was reasonable given circumstances but identified that more frequent o…

paediatricsemergency medicinecommunicationdelay
WAhospital2020-10-08

Inquest into the Death of Wayne Frederick LEESE

54y · Male·Complications including hepatic encephalopathy, pneumonia and multi-organ failur…

Wayne Frederick Leese, a 54-year-old prisoner, died from complications of hepatitis C and hepatocellular carcinoma including hepatic encephalopathy, pneumonia and multi-organ failure. He collapsed at Acacia Prison on 4 M…

hepatologyemergency medicinemethadone
VIChospital2011-05-18

Finding into death of Hannah Paige Pain Fowler

11y · Female·Sepsis due to acute peritonitis secondary to perforated gangrenous acute appendi…

Hannah Fowler, aged 11, died from sepsis secondary to perforated gangrenous acute appendicitis. She presented with progressive abdominal pain, vomiting, anorexia and malaise over four days before sudden deterioration and…

paediatricsemergency medicinediagnosticdelayparacetamol
SAhospital2006-05-18

Coroner's Finding: PAHL-CADMAN Emma Rose

20y · Female·cardiac dysrhythmia/arrest in a 20 year old Down's Syndrome female following abd…

A 20-year-old woman with Down syndrome and Eisenmenger syndrome (cyanotic heart disease with ventricular septal defect) was admitted with abdominal obstruction. After appropriate diagnostic workup, laparotomy was perform…

general surgeryanaesthesiadiagnosticcommunication

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