12 results for “severe faecal loading”
44y · Male·aspiration and intellectual disability
Andrew Wilson, a 44-year-old man with intellectual disability, epilepsy, asthma, and severe scoliosis, died from aspiration in a community residential unit. He had been prescribed a laxative and ene…
32y · Female·Perforation of the bowel in the context of constipation and intellectual disabil…
…n with intellectual disability and Opitz Trigonocephaly Syndrome, died from bowel perforation secondary to severe constipation and pica (compulsive ingestion of non-food items). She presented with abdominal obstruction, …
89y · Male·combination of biochemical consequences of colonic pseudo-obstruction and faecal…
An 89-year-old man with multiple comorbidities including previous colon cancer died from faecal impaction and stercoral colitis. He resided in a residential aged care facility (RACF) where staff failed …
68y · Male·Stercoral perforation in a man with cerebral palsy
John Robert Clay, a 68-year-old man with cerebral palsy, died from stercoral perforation following severe constipation and faecal impaction. He had multiple complex disabilities including quadriplegia, dysphagia,…
58y · Male·complications of large bowel pseudo-obstruction
…charge from hospital after inadequate assessment. He had presented to the ED with lower abdominal pain and severe faecal loading (bowel dilation 19cm). Despite a critical admission one year prior requiring ICU and manual…
48y · Male·sepsis and renal failure due to perforated gastric ulcer
…epatitis C and schizo-affective disorder presented to West Coast District Hospital on 20 October 2014 with severe abdominal pain radiating to the right shoulder tip, generalised tenderness, and a pain rating of 8/10. Cli…
69y · Female·Aspiration pneumonia in a woman with intellectual disability
…anagement (Coloxyl and increased fluids). She collapsed the same evening and was resuscitated but suffered severe hypoxic brain injury during arrest. Autopsy revealed aspiration pneumonia with risk factors including her …
38y · Male·multi organ failure secondary to intestinal ischaemia from toxic megacolon relat…
…hizophrenia died from multi-organ failure secondary to intestinal ischaemia caused by toxic megacolon from severe constipation. He was a detained patient on Clozapine and Oxybutamin, both known to cause constipation. On …
53y · Female·Bronchopneumonia on a background of cerebral palsy
…nnected to her death. This case illustrates the trajectory of progressive aspiration risk in patients with severe neurological disability and the challenges of managing complications in this population.
8y · Male·ischaemic bowel due to strangulated small bowel obstruction secondary to congeni…
…s not recognised or escalated. Key failures included: premature closure and anchoring bias on constipation/faecal loading; inadequate fluid balance documentation masking vomiting severity; failure to seek senior surgical…
31y · Male·Acute colonic pseudo-obstruction; death certificate amended to 'unascertained' -…
…sues, died from acute colonic pseudo-obstruction with underlying malnourishment. Key clinical lessons: (1) severe malnutrition secondary to chronically poor diet was not adequately managed despite multiple hospital admis…
56y · Male·Complications of clostridium difficile and malnutrition in the setting of cerebr…
Mr C was a 56-year-old man with cerebral palsy and acquired brain injury who died from complications of Clostridioides difficile infection and malnutrition. He was admitted to hospital on 21 January 2022 with diarrhoea, …
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