Coronial

4 results for retroperitoneal perforation

WAhospital2022-06-23

Inquest into the Death of Lee MILCHERDY

75y · Female·Complications including acute pancreatitis and refractory intra-abdominal sepsis…

…, where the ERCP was performed on 15 October 2018. The procedure caused serious complications including perforation, sepsis, and multi-organ dysfunction. Key clinical lessons: ensure all relevant investigation results a…

gastroenterologygeneral surgerycommunicationdiagnostic
VIChospital2014-08-29

Finding into death of Noella Rae Clohesy

62y · Female·Multi-organ failure due to lacerated abdominal aorta complicating laparoscopic b…

…arly in the operation but failed to communicate concerns to the surgeon until very late. Key lessons: retroperitoneal bleeding can occur without visible intra-abdominal signs; surgeons and anaesthetists must communicate…

general surgeryanaesthesiaproceduralcommunication
NThospital2018-09-21

Inquest into the death of Henry George Wilson aka Albert Wilson

77y · Male·sepsis due to retroperitoneal collection after biliary stent insertion on a back…

A 77-year-old Aboriginal man died from sepsis following a percutaneous transhepatic cholangiography (PTC) procedure that perforated his duodenum. Critical failures included: delayed diagnosis and treatment of peritonitis…

general surgeryradiologydiagnosticcommunicationpiperacillin/tazobactam
NTcommunity1981-12-17

Inquest into the death of John Ross Jabanardi

20y · Male·Retro-peritoneal and intra-peritoneal haemorrhage due to perforation of the left…

A 20-year-old Aboriginal man died from retroperitoneal and intra-peritoneal haemorrhage caused by perforation of the left internal iliac artery from a gunsh…

systemcommunication

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