41y · Male·Acute liver failure with contributing Castleman's disease
A 41-year-old Aboriginal man with HIV and Castleman's disease died from acute liver failure while on home detention. He had variable compliance with antiretroviral therapy, exacerbated by am…
85y · Male·Liver ischaemia and portal vein thrombosis complicating emergency cholecystectom…
…cult dissection in inflamed tissue. Despite appropriate management of complications, the patient developed liver ischaemia and portal vein thrombosis, leading to multi-organ failure. The coroner found no want of care: s…
48y · Male·Multi-organ failure from acute gastrointestinal haemorrhage associated with oeso…
… multi-organ failure due to acute gastrointestinal haemorrhage from oesophageal varices on a background of liver cirrhosis. He had a medical history of hepatitis C, cirrhosis, thrombocytopenia, and anaemia. Clinical war…
3y · Female·Complications of blunt force trauma to the abdomen
…d by her mother's partner deliberately stepping on her abdomen with his full body weight (~100kg), causing liver rupture and massive intra-abdominal haemorrhage. The perpetrator deliberately concealed the injury from th…
44y · Male·cardiogenic shock, on a background of severe tricuspid valve regurgitation, seve…
Jeffrey Blundell, a 44-year-old man with severe intravenous drug use history, died from cardiogenic shock secondary to severe tricuspid valve regurgitation caused by infective endocarditis from non-sterile inject…
53y · Male·Sepsis from infected ascites (E. coli) in a man with cirrhosis of the liver, hep…
…by cirrhosis, hepatocellular carcinoma, and diffuse B-cell lymphoma. He was admitted to hospital in septic shock with acute abdominal pain on 14 November 2011 and died 8 days later. Ascitic fluid was appropriately aspir…
51y · Female·community acquired pneumonia
…ation. During treatment, an Acomed infusion pump failed silently, temporarily compromising noradrenaline delivery when her blood pressure was critically low (60 mmHg systolic). Despite manual administration resumption a…
58y · Male·Multiple injuries occasioned in a motor vehicle accident (broken neck, ruptured …
…management by Registered Nurse Ann Paulus at the accident scene. Despite suffering a broken neck, ruptured liver, ruptured pelvis, and multiple rib fractures—injuries that were potentially survivable with appropriate tr…
Female·Combination of liver failure, blood loss and shock following needle biopsy
Alyssa, a 9-week-old infant, died from hemorrhage following a liver biopsy at Monash Medical Centre. She had persistent jaundice, and biopsy was undertaken to investigate pot…
75y · Female·Haemorrhage due to chest and abdominal injuries sustained in motor vehicle colli…
…sons include: Mrs Thompson initially appeared stable but deteriorated from internal bleeding (hypovolaemic shock); this illustrates how blunt trauma can cause delayed, progressive bleeding. The coroner referred Ms Smith…
66y · Female·Cardiac failure due to atherosclerotic and hypertensive heart disease
…d heart failure as it can exacerbate the condition. The patient deteriorated the next day with cardiogenic shock and died despite resuscitation. Expert evidence indicated the patient likely would not have died without s…
26y · Male·Multi-organ failure due to pneumococcal septic shock
…man presented with chest and abdominal pain, initially diagnosed with possible hepatitis based on elevated liver function tests. He developed an atypical blanched rash not recognised as varicella zoster (chickenpox), co…
62y · Female·Hypovolaemic and cardiogenic shock (hysterectomy) in the context of cardiomegaly…
…osis, cardiomegaly, thrombocytopenia, chronic kidney disease, COPD) died from hypovolaemic and cardiogenic shock during elective total laparoscopic hysterectomy for an endometrial polyp. Intraoperative blood loss was 20…
55y · Female·Complications of metastatic colorectal carcinoma
…lood pressure, low pulse, and abdominal tenderness. She was referred to ED and admitted to ICU with septic shock and bowel obstruction. CT imaging revealed colon cancer with hepatic metastases. She underwent emergency p…
2y · Female·Blunt force injury to the abdomen
…rce injury to the abdomen, sustaining internal injuries including pancreatic rupture, jejunal rupture, and liver trauma with significant intra-abdominal hemorrhage. Evidence indicated the fatal injuries occurred on the …
73y · Female·Multi organ failure due to adhesions related bowel perforation (surgically treat…
…ld woman, died from multi-organ failure due to adhesions-related bowel perforation and paracetamol-induced liver failure. She was prescribed intravenous paracetamol 1g four times daily post-operatively, despite weighing…
65y · Male·Pneumonia, due to chronic lung disease with atherosclerotic cardiovascular disea…
A 65-year-old man with severe chronic lung disease, COPD, and coronary artery disease died at home. Evidence suggests he deliberately ingested benzodiazepines and possibly other substances in a self-harm attempt. However…
74y · Male·Intra-abdominal haemorrhage complicating elective umbilical hernia repair
… failure to withhold anticoagulation or give fresh frozen plasma earlier. The patient's underlying chronic liver disease (from severe tricuspid regurgitation) created an unrecognised coagulopathy risk. Earlier recogniti…
10y · Female·Septic shock and multiple organ failure as complications of advanced metastatic …
…mar, a 10-year-old girl diagnosed with advanced metastatic hepatoblastoma in August 2009, died from septic shock and multiorgan failure in El Salvador on 12 November 2009. Her treating oncologist Dr A. at Princess Marga…
19y · Female·Meningococcal septicaemia
…treatment including fluid resuscitation, multiple antibiotics, and organ support, she developed refractory shock and died from overwhelming sepsis. The case highlights that meningococcal W disease progresses rapidly and…
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