Coronial

29 results for intra-abdominal bleeding

QLDhospital2015-07-08

Hamilton, Michael John - Non-inquest findings

72y · Male·Multiple organ failure due to sepsis caused by abdominal adhesions from previous…

…se and pancreatitis indicators; (3) heparin recomenced post-operatively despite increased intra-operative bleeding; (4) these factors may have contributed to subsequent intra-abdominal haematoma requiring multiple re-ope…

surgeryintensive carediagnosticsystemwarfarin
VIChospital2014-08-29

Finding into death of Noella Rae Clohesy

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

… Visiport trocar blade at the start of the procedure. Although the surgeon conducted a careful survey for bleeding and found none, blood was lost into the retroperitoneum, which remained undetected for over four hours. T…

general surgeryanaesthesiaproceduralcommunication
VIChospital2022-10-18

Finding into death of Kenneth Ernest O'Brien

74y · Male·Intra-abdominal haemorrhage complicating elective umbilical hernia repair

…eratively, he developed hypotension and was transferred to ICU. The coroner found that post-operative intra-abdominal haemorrhage was not recognised early enough. Critical factors included: over-reliance on a single hae…

general surgeryanaesthesiadiagnosticcommunicationapixaban
WAhospital2018-06-14

Inquest into the Death of Anne RZEPCZYNSKI

59y · Female·complications of intra-abdominal sepsis, including multi-organ failure and bowel…

59-year-old woman died from intra-abdominal sepsis, multi-organ failure and bowel perforation following median hepatectomy for cholangiocarcinoma…

general surgeryintensive carediagnosticdelayantibiotics
NSWhospital2011-04-01

Clarke,heidimaree1223 09 findings&recommendations

Female·massive intra-abdominal haemorrhage caused by injuries to her right common iliac…

…aree Clarke, a patient undergoing treatment for ectopic pregnancy, died on 30 April 2009 from massive intra-abdominal haemorrhage caused by injuries to her right common iliac artery and vein sustained during laparoscopi…

gynaecologyprocedural
VIChospital2019-08-30

Finding into death of Agostino Cutugno

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

…lf-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 teams managing his co…

general surgeryintensive carecommunicationsystemproton pump inhibitors
VIChospital2018-08-01

Finding into death of Julia Folcik

89y · Female·Injuries sustained in motor vehicle collision (pedestrian)

… transferred to Royal Melbourne Hospital where she developed rapid atrial fibrillation and persistent intra-abdominal bleeding. Given her age, injuries, and clinical deterioration, the trauma team determined she was not…

trauma surgeryemergency medicine
SAhospital2016-05-25

Coroner's Finding: PALTRIDGE Mellanie Joanne

25y · Female·ruptured splenic artery aneurysm with haemorrhage and internal blood loss

…ot carried out despite clinical deterioration; (4) the 'double rupture phenomenon' with initial contained bleeding followed by stability is characteristic and should not provide false reassurance; (5) lack of shock, guar…

obstetricsemergency medicinediagnosticdelayparacetamol
NSWhospital2011-11-11

Coroner's Finding: John Reginald Beech

64y · Male·Postoperative intra-abdominal bleeding from pancreatic artery injury and its con…

John Reginald Beech, 64, died at Sydney Adventist Hospital on 24 April 2007 from postoperative intra-abdominal hemorrhage following colonic surgery. One week earlier, he underwent high anterior resection and hern…

anaesthesiacolorectal surgerydiagnosticdelaymorphine
VIChospital2022-02-28

Finding into death of H YR

77y · Female·Haemoperitoneum following cholecystectomy

A 77-year-old woman died from haemoperitoneum (intra-abdominal bleeding) three days after elective laparoscopic cholecystectomy. Bleeding from the left inferior epi…

general surgeryintensive carediagnosticdelaywarfarin
QLDhospital2016-08-04

Clarke, David Michael

56y · Male·intra-abdominal haemorrhage due to splenic rupture due to blunt force injury to …

David Michael Clarke, aged 56, died from intra-abdominal haemorrhage due to splenic rupture following blunt force injury to his back. The fatal injury occurre…

emergency medicineintensive caresystemdelay
QLDhospital2007-12-07

Burgen, Deborah Denise

49y · Female·Intra-abdominal haemorrhage, septic and haemorrhagic shock as a result of a lapa…

Deborah Burgen died from intra-abdominal haemorrhage complicated by septic shock following delayed emergency surgery for bowel obstruction. Sh…

emergency medicinesurgerydiagnosticdelayparacetamol/codeine
QLDcommunity2010-09-16

Petersen, David Robert

35y · Male·intra-abdominal haemorrhage caused by ruptured spleen

…h. Critical failings: no vital signs recorded, no abdominal examination performed, no investigation of GI bleeding history, no adequate differential diagnosis, and failure to refer to hospital despite red flag symptoms. …

general practiceemergency medicinediagnosticcommunicationparacetamol/codeine
WAcommunity2003-05-30

Inquest into the Death of Sandra Honey

56y · Female·Multiple injuries including small and large bowel damage, mesenteric damage with…

… vehicle collided with a tree. She sustained bowel and mesenteric injuries, lung contusions, and internal bleeding. Despite emergency surgery at Bunbury Regional Hospital and intensive care at Sir Charles Gairdner Hospit…

trauma surgeryintensive caresystem
NSWcommunity2018-08-16

Inquest into the death of Hugo Fifi

48y · Male·Haemoperitoneum resulting from blunt force abdominal injuries

…ion revealed multiple lacerations, abrasions, and a large bruise to his left abdomen with significant intra-abdominal bleeding. High methamphetamine levels were detected. This case highlights the challenges in managing …

methamphetamine
TAShospital2024-06-21

Coroner's Finding: de-identified BP

16y · Male·transection of the liver and laceration of the inferior vena cava sustained in a…

A 16-year-old male died from transection of the liver and inferior vena cava laceration sustained in a quad bike accident. He was riding a single-rider ATV with a pillion passenger when he entered a left-hand corner too …

trauma surgeryemergency medicine
WAhospital2001-04-12

Inquest into the Death of Margaret Patton Brooks

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

…the abdominal wall, preventing activation of the trocar's safety shield. Despite immediate recognition of bleeding and conversion to open surgery with vascular repair, the deceased died from traumatic blood loss and orga…

general surgeryanaesthesiaprocedural
WAhospital- 27 May 2014

Inquest into the Death of Julissa Teresa GILBERT

57y · Female·Intra-abdominal Haemorrhage following Appendectomy, with contributing factor of …

…rgeon operating on friable tissues with limited visibility. Post-operatively, mesenteric tears caused intra-abdominal haemorrhage (1600mls), but this was misdiagnosed as septic shock. The locum doctor managing post-oper…

anaesthesiasurgerydiagnosticcommunicationaramine
SAhospital2007-02-07

Coroner's Finding: ROBBINS Amy Louise

16y · Female·intra-abdominal haemorrhage due to ruptured spleen

A 16-year-old girl died from intra-abdominal haemorrhage due to ruptured spleen following a car rollover. She was transported by ambulance to the …

trauma surgeryemergency medicinesystemdelay
SAhospital2016-09-29

Coroner's Finding: MCSHANE Robert Ian

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

…ive haemorrhage and vascular injury. During surgery for renal carcinoma, the surgeon attempted to control bleeding from an unidentified vessel using a laparoscopic stapler without adequate visualisation of the stapler ti…

urologyvascular surgeryproceduralsurgical judgment

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