Coronial

8 results for operative cholangiogram

VIChospital2012-06-25

Finding into death of Angela Murray

52y · Female·Aspiration pneumonia in a female who had undergone a laparoscopic cholecystectom…

…ties of fluid prior to admission, including brown-coloured liquid suggesting possible haematemesis. Post-operatively, she experienced seizures and hypoxia requiring MET calls. The coroner found no relationship between h…

surgerygeneral practice
VIChospital2012-12-14

Finding into death of Jeanette Brown

66y · Female·Multi-organ failure associated with haemorrhage and sepsis following cholecystec…

Mrs Jeanette Brown, 66, died from multi-organ failure following post-operative haemorrhage after elective laparoscopic cholecystectomy. Arterial clips applied to the cystic artery dur…

general surgeryanaesthesiaproceduralcommunicationamlodipine
WAhospital2013-05-01

Inquest into the Death of Squires, John Gregory

47y · Male·Pulmonary thromboembolism in association with deep vein thrombosis

…olism with DVT before anticoagulation could be beneficial. Key preventable factors included: lack of pre-operative anticoagulant prophylaxis despite high-risk classification; failure to adequately escalate oxygen desatu…

surgeryanaesthesiadiagnosticdelayheparin
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 epigastric artery was a recognised surgical complication bu…

general surgeryintensive carediagnosticdelaywarfarin
VIChospital2016-09-15

Finding into death of Bernas Hasibuan

50y · Male·gastrointestinal haemorrhage; haemorrhage from cystic artery post laparoscopic c…

…elow 90 on three separate occasions; misattribution of bleeding to diverticular disease rather than post-operative complications; inadequate investigation of suspected upper gastrointestinal bleeding with gastroscopy no…

general surgeryintensive carediagnosticcommunication
VIChospital2021-07-20

Finding into death of Barry Brown

56y · Male·Internal blood loss, complications arising from laparoscopic cholecystectomy

…died from internal bleeding after laparoscopic cholecystectomy due to critical systemic failures in post-operative care and diagnosis. Following hypotension at 7:30pm, nursing staff failed to follow escalation protocols…

general surgeryintensive carediagnosticcommunicationnoradrenaline
SAhospital2020-10-30

Coroner's Finding: VELT Hank Jakob

65y · Male·ischaemic and hypertensive heart disease with contributing acute cholecystitis (…

… with acute cholecystitis, underwent laparoscopic cholecystectomy, and initially recovered well. On post-operative day 7, he experienced chest pain radiating to his jaw. Two ECGs were performed, both showing acute infer…

general surgerycardiologydiagnosticcommunication
TAShospital2020-04-03

Coroner's Finding: Pears, William Ernest

66y · Male·hepatic failure, intrahepatic sepsis and intrahepatic haematoma secondary to com…

William Ernest Pears died from hepatic failure, intrahepatic sepsis and haematoma following a laparoscopic cholecystectomy in 2012. During surgery for gallstone disease, the right hepatic duct was damaged and repaired, b…

surgerygeneral surgerydiagnosticprocedural

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