88y · Male·Ischaemic bowel in a man with fractured pelvis secondary to a motor vehicle inci…
…d was struck. He was admitted to Alfred Hospital with multiple pelvic fractures and developed acute kidney injury with abdominal pain. Imaging revealed portal vein thrombosis. Despite pain and delirium, no acute surgical…
55y · Male·Multi-system failure complicating intra-operative haemorrhage due to inadvertent…
…awkins, a 55-year-old man, died from multi-system failure following inadvertent ligation of the superior mesenteric artery (SMA) during laparoscopic nephrectomy for renal cell carcinoma. Dr L. misidentified the SMA for t…
50y · Male·Multi-organ failure caused by low flow ischaemia of coeliac artery and superior …
…ard algorithms, was ultimately too long for this patient and obstructed his coeliac, renal, and superior mesenteric arteries, causing progressive visceral ischaemia. Early post-operative signs of organ hypoperfusion were…
52y · Male·Intestinal failure/sepsis arising from venous ischemia as a result of superior m…
…2-year-old man, died from intestinal failure and sepsis following an accidental division of the superior mesenteric vein (SMV) during laparoscopic surgery for colon cancer at Kareena Private Hospital on 9 October 2013. D…
56y · Female·Multiple injuries including small and large bowel damage, mesenteric damage with…
…een applied during roadworks earlier that day. The vehicle collided with a tree. She sustained bowel and mesenteric injuries, lung contusions, and internal bleeding. Despite emergency surgery at Bunbury Regional Hospital…
1y · Male·Complication of burns and trauma to the mesenteric artery
…ustained when left unsupervised in a bath of hot water (65°C) for 10-15 minutes, combined with traumatic mesenteric artery tears of unknown cause. The child deteriorated in a manner inconsistent with typical burn injurie…
40y · Male·Acute hepatic and renal failure in the setting of postoperative haemorrhage foll…
…els, likely missing the inferior branch of the left renal artery and inadvertently ligating the superior mesenteric artery. Critical lessons include: complex large tumours require appropriate surgical approach (open vs l…
1y · Female·Chest injuries
…m extensive chest injuries sustained overnight in her mother's care. On 18 July 2008, she had a minor head injury and alleged dog bite at a shopping centre. When examined at hospital, she appeared well with minimal injur…
1y · Male·Global cerebral ischaemic injury following cardiorespiratory arrest of unknown c…
A 22-month-old boy died from global cerebral ischaemic injury following cardiorespiratory arrest of unknown cause in the setting of detected methylamphetamine exposure.…
4y · Male·Intra-abdominal injuries from blunt force trauma (ruptured duodenum and lacerate…
…enum and lacerated mesentery causing peritonitis and haemorrhage. Seventy bruises indicated non-accidental injury inflicted over several days. The fatal injuries were delivered by either Matthew Scown or Heidi Strbak (hi…
Male·Motor vehicle crash injuries; Arjomand—head injury; Hiron—chest and abdominal in…
… intoxicated with methylamphetamine and other drugs. The driver (Arjomand) sustained a non-survivable head injury; the rear seat passenger (Hiron) sustained severe chest and abdominal injuries; and the front seat passeng…
Male·Motor vehicle crash injuries; Arjomand: unsurvivable head injury; Hiron: chest a…
…er the influence of methamphetamine and other drugs. The driver (Arjomand) sustained a non-survivable head injury; the passengers sustained critical chest and abdominal injuries. The coroner found all three men were sign…
27y · Male·multiple organ failure due to the consequences of multiple gunshot wounds to the…
Mahmoud Houri died aged 27 in custody from multiple organ failure, a consequence of gunshot wounds sustained in 2002. The inquest examined whether appropriate care was provided on 21 August 2008 when he presented with vo…
Male·Mahdi Arjomand: unsurvivable head injury incurred at time of motor vehicle crash…
…th methylamphetamine and other drugs at the time of the crash. The driver (Arjomand) suffered a fatal head injury consistent with loss of consciousness or sudden sleep due to stimulant intoxication. The two passengers su…
49y · Male·multiple injuries
A 49-year-old remand prisoner died from multiple injuries after being pinned between a reversing truck and a coolroom wall in the prison industries yard. The deceased voluntarily offered to guide the truck as it reversed…
34y · Female·Head injuries from blunt force trauma (multiple blows from axe); abdominal injur…
A 34-year-old pregnant woman died from severe head and abdominal injuries inflicted by her estranged partner in a domestic violence homicide. The death followed escalating domestic and family violence (DFV) including phy…
41y · Female·Multiple injuries from assault
…uma including extensive rib fractures causing flail chest, pneumohaemothorax, liver lacerations, and brain injury. The death followed prolonged family violence escalation over months. Clinical lessons centre on recogniti…
70y · Male·severe metabolic acidosis due to multi organ failure including liver ischaemia
…ed consent and produced an inadequate operation report that didn't document surgical difficulties or organ injury. Postoperatively, there were missed opportunities for earlier recognition of deterioration (inadequate obs…
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