57y · Male·Gastrointestinal haemorrhage due to a duodenal ulcer in the setting of recent ne…
…dation, died from gastrointestinal haemorrhage due to a duodenal ulcer eight days after undergoing left nephrectomy for renal carcinoma. Autopsy revealed approximately 900ml of clotted blood in the stomach and bowel fro…
64y · Male·Ischaemic bowel and spleen infarction secondary to occlusion of splenic artery a…
…y surgical clips incorrectly placed on the splenic and superior mesenteric arteries during laparoscopic nephrectomy for renal cell carcinoma. The surgeon misidentified major blood vessels in the setting of extensive fib…
55y · Male·Multi-system failure complicating intra-operative haemorrhage due to inadvertent…
…stem failure following inadvertent ligation of the superior mesenteric artery (SMA) during laparoscopic nephrectomy for renal cell carcinoma. Dr L. misidentified the SMA for the left renal artery and applied insufficien…
66y · Male·Multi-system failure and ischaemic gut after left nephrectomy complicated by mas…
A 66-year-old man died from multi-system failure and ischaemic bowel following laparoscopic left nephrectomy complicated by massive haemorrhage and vascular injury. During surgery for renal carcinoma, the surgeon…
71y · Male·metastatic papillary renal cell carcinoma
…gnosed with renal cell carcinoma in 2020 with metastases to lungs, liver, and later brain. He underwent nephrectomy and received targeted therapy with Cabozantinib but developed significant cardiotoxicity. By late 2023,…
40y · Male·Acute hepatic and renal failure in the setting of postoperative haemorrhage foll…
…ension died from acute hepatic and renal failure following postoperative haemorrhage after left radical nephrectomy for a 10cm renal cell carcinoma. The surgeon applied a vascular stapler to the renal hilum en masse wit…
66y · Female·Pulmonary thromboembolism due to renal vein thrombus secondary to renal cell car…
… originating from renal cell carcinoma. She had a five-month delay in scheduling Category 1 surgery for nephrectomy due to systemic waitlist management failures at RBWH. Although the rapid disease progression was except…
60y · Male·metastatic atrial sarcomatoid tumour
Steve Fesus, aged 60, died in custody at Prince of Wales Hospital from metastatic atrial sarcomatoid tumour. He had been diagnosed with cardiac cancer in 2016, underwent surgery, and was in remission until metastases wer…
42y · Male·disseminated metastatic renal cell carcinoma
A 42-year-old prisoner died from disseminated metastatic renal cell carcinoma. Renal cancer was identified by ultrasound in September 2006 and confirmed by CT scan. Surgery was performed with curative intent in December …
62y · Male·Intraoperative haemorrhage due to metastatic clear cell renal cell carcinoma (su…
A 62-year-old man died from intraoperative haemorrhage during surgery for a renal tumour initially diagnosed as benign anastomosing haemangioma on biopsy but found at autopsy to be metastatic clear cell renal cell carcin…
71y · Male·Plastic bag asphyxia and argon gas inhalation
A 71-year-old man with metastatic bladder cancer, chronic renal failure, and recent dialysis initiation deliberately ended his life using argon gas inhalation. Over 12 years of progressive cancer treatment, multiple surg…
46y · Male·Misadventure - death occurred in remote bushland, likely from injury, disorienta…
Michael Keith Graham, a 46-year-old part-time prospector from New South Wales, disappeared on 14 January 2013 from a remote prospecting camp near Menzies, Western Australia. He left his mobile phone and GPS in his vehicl…
1y · Female·infarction and volvulus of the small intestine due to adhesion from prior nephre…
A 19-month-old girl with history of Wilms tumour presented to Launceston General Hospital with vomiting, pain and lethargy. A Children's Early Warning Tool score of 6 triggered mandatory protocols including senior doctor…
76y · Male·Small bowel obstruction and acute renal failure, due to or as a consequence of m…
Adrian Adams, aged 76, died in Princess Alexandra Hospital from small bowel obstruction and acute renal failure secondary to metastatic colorectal cancer. He was serving an eight-year sentence for sexual offences at the …
66y · Male·carcinomatosis complicated by recurrent sepsis and multisystem failure in a man …
A 66-year-old man with renal cell carcinoma died in hospital from carcinomatosis with sepsis and multisystem failure. Critical clinical lesson: haematuria in 2005 was not adequately investigated with imaging despite recu…
44y · Female·Lymphocytic choriomeningitis virus (LCMV)-like virus infection following failed …
A 44-year-old woman died on 1 January 2007, six days after receiving a cadaveric renal transplant. She was one of three organ recipients from the same donor who died within six days of each other from a novel lymphocytic…
66y · Male·multiple organ failure associated with the combined effects of complications of …
Daniel Lahengking, a 66-year-old Indonesian visiting family in Esperance, was diagnosed with rheumatoid arthritis by locum GP Dr H. and prescribed methotrexate 5-10mg daily, a grossly excessive dose (normal: 7.5-20mg wee…
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