Coronial

23 results for mesenteric ischaemia

SAhospital2013-09-30

Coroner's Finding: GIANNINI Pasquale

68y · Male·infarction of the small and large bowel due to superior mesenteric artery thromb…

…10, the treating surgeon focused on symptomatic management rather than pursuing urgent investigation for mesenteric ischaemia. By the time mesenteric ischaemia was suspected the following morning and imaging arranged, ir…

general practiceemergency medicinediagnosticdelayaugmentin duo
TAShospital2025-01-21

Coroner's Finding: Connlley, Maurice Gordon

76y · Male·Extensive small bowel infarction caused by superior mesenteric artery thrombus

… left-sided abdominal pain, vomiting and bowel incontinence. Initial CT imaging was reassuring. However, mesenteric ischaemia—characterised by severe pain without significant clinical signs—was not diagnosed until a CT a…

emergency medicinesurgerydiagnosticdelayanticoagulant
TAShospital2018-05-30

Coroner's Finding: Forward, Trudi Maree

53y · Female·sepsis and multiple organ failure attributable to infarction/necrosis of small b…

…pe II diabetes, obesity, and Korsakoff dementia presented with acute severe abdominal pain from superior mesenteric artery (SMA) thrombosis at 3:00 AM on 19 August. Despite elevated lactate, metabolic acidosis, leukocyto…

emergency medicinegeneral surgerydiagnosticdelay
VIChospital2016-08-18

Finding into death of Susan Bourke

49y · Female·Widespread small and large bowel, splenic and hepatic infarction secondary to se…

…ge bowel infarction secondary to severe aortic atherosclerosis causing critical stenosis of the superior mesenteric and coeliac arteries. She presented to the ED with months of abdominal pain, weight loss and diarrhoea, …

emergency medicineradiologydiagnosticcommunication
SAhospital2013-08-27

Coroner's Finding: BALNAVES Craig Henri

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

…der mental health orders, died from ischaemic small intestine due to bowel incarceration in a congenital mesenteric defect. He presented with abdominal pain on 8-9 May 2009 and was appropriately diagnosed with acute abdo…

general surgerypsychiatryantacid
ACThospital2018-11-26

AN INQUEST INTO THE DEATH OFADRIAN CHARLES WILFRED VAN DIE

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…

cardiothoracic surgeryintensive caresystem
WAhospital2013-11-29

Inquest into the Death of Jones, Wilma Ray

75y · Female·Abdominal infection following surgery (repair of recurrent umbilical hernia) - s…

…umbilical hernia repair. Post-mortem revealed ischaemic bowel with infarction, likely caused by superior mesenteric artery occlusion triggered by the operative procedure. Ischaemia developed hours post-operatively but wa…

general surgeryanaesthesiadelaysystemephedrine
VIChospital2018-06-28

Finding into death of Eugene William Twining

88y · Male·Ischaemic bowel in a man with fractured pelvis secondary to a motor vehicle inci…

… examination revealed ischaemic bowel secondary to aortic atheroma that likely embolised to the inferior mesenteric artery. The coroner identified that the truck driver could not see the patient due to poor cab design, n…

trauma surgeryintensive caremorphine
NSWhospital2022-03-25

Inquest into the death of Anthony Barrett

54y · Male·Bowel ischaemia resulting from acute thrombosis of superior mesenteric artery an…

Anthony Barrett died from bowel ischaemia caused by acute thrombosis of his superior mesenteric artery and coeliac artery stents post-operatively.…

orthopaedic surgeryvascular surgerycommunicationdiagnosticclopidogrel
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 no…

emergency medicineradiologydiagnosticcommunication
NThospital2018-09-21

Inquest into the death of David Fensom

67y · Male·multi-organ failure due to septic shock consequent on faecal peritonitis due to …

…ncy in a patient with known adhesion history proved fatal. Clinicians should maintain high suspicion for mesenteric ischaemia when severe abdominal pain is disproportionate to examination findings, particularly in patien…

general surgeryemergency medicinediagnosticcommunicationfentanyl
VIChospital2014-11-24

Finding into death of David Liam Goold

22y · Male·ischaemic bowel

… care and at the hospital was within reasonable health care practice parameters. The underlying cause of mesenteric ischaemia could not be determined as the family declined autopsy. No clinical errors or preventable fail…

surgeryintensive care
VIChospital2014-08-27

Finding into death of Robert Vivian Hawkins

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…

urologygeneral surgerydiagnosticprocedural
VIChospital2022-05-06

Finding into death of Trevor Anthony Peterson

57y · Male·Sepsis from ischemic bowel due to superior mesenteric artery thrombus

Trevor Peterson, a 57-year-old with chronic gut ischemia, underwent mesenteric artery stenting in February 2020. Discharge instructions emphasising dual antiplatelet therapy (DAPT) we…

vascular surgeryradiologycommunicationsystemaspirin
VIChospital2024-10-29

Finding into death of Shane Hughes

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…

urologysurgeryproceduraldiagnosticmetaraminol
VIChospital2014-10-02

Finding into death of Penrin John Maxworth Halliday

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

…ative day 1, the patient developed acute abdominal pain with elevated lactate. Imaging revealed superior mesenteric artery dissection with intestinal ischaemia—a recognised but uncommon complication of IABP. Despite emer…

cardiologycardiothoracic surgery
QLDhospital2011-06-24

(C) a 15 month old child

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…

paediatricsplastic and reconstructive surgerycommunicationsystemrisperidone
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…

…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…

colorectal surgeryintensive carecommunicationsystem
NSW2018-10-26

Inquest into the death of Mahmoud Houri

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…

general surgerygastroenterologymetoclopramide
NSWhospital2024-01-29

Inquest into the death of Sean Montgomery

70y · Male·severe metabolic acidosis due to multi organ failure including liver ischaemia

70-year-old Sean Thomas Montgomery died from severe metabolic acidosis and multi-organ failure following a thoracoscopic repair of a chronic right diaphragmatic hernia. The coroner identified multiple significant failing…

cardiothoracic surgerygeneral surgerydiagnosticcommunicationmorphine

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