Finding into death of Linda Tucker

62y · Female·Stomach perforation complicating recurrent pseudo-obstruction of the bowel

Linda Tucker, a 62-year-old woman with intellectual disability and history of recurrent pseudo-obstruction, presented with acute abdominal distension and was admitted to hospital with findings suspicious of perforation. She rapidly deteriorated and died from stomach perforation complicating pseudo-bowel obstruction. The coroner found no issues with care provided by Western Health or DHHS. Clinical lessons include recognition that pseudo-obstruction can progress to perforation; careful monitoring of distended abdomens in vulnerable populations with limited communication; and consideration of early surgical intervention in rapidly deteriorating patients with radiological evidence of perforation. The patient's non-verbal status and intellectual disability required careful observation by support staff for signs of acute illness.