58y · Male·ischaemic bowel; chronic megacolon in the setting of constipation, hypothyroidis…
… to chronic megacolon. He presented to hospital with abdominal distension and underwent CT imaging and sigmoidoscopy showing dilated bowel without clear obstruction. He was discharged after initial admission but returne…
58y · Male·aspiration pneumonia complicating sigmoid volvulus, in a man with multiple scler…
…Hospital on 25 January 2023 with abdominal pain and distension. He underwent rectal tube insertion via sigmoidoscopy on 26 January with initial improvement. However, he developed aspiration pneumonia and died on 29 Janu…
48y · Male·sepsis in the setting of aspiration pneumonia and bowel obstruction
… pneumonia, was initially discharged, then readmitted with imaging suggesting small bowel obstruction. Sigmoidoscopy was attempted unsuccessfully. Palliative care was chosen in consultation with family. The coroner foun…
73y · Male·Aspiration pneumonia complicating sigmoid volvulus in a man with Down syndrome
…t lower lobe consolidation. He was admitted to hospital, treated with antibiotics, and underwent rigid sigmoidoscopy. He died 4 days after admission from aspiration pneumonia complicating sigmoid volvulus. The coroner f…
59y · Female·Complications of a pseudo-obstruction on a background of previous anterior resec…
…n, and chronic bowel dysmotility. Admitted July 2024 with abdominal distension, she underwent flexible sigmoidoscopy, colonoscopy with colostomy formation, and experienced aspiration pneumonia. Despite maximal medical m…
81y · Male·Consequences of bowel obstruction
…riorated acutely with low blood pressure and vomiting, appropriately transferred to hospital. Flexible sigmoidoscopy achieved successful decompression. However, unexpected vomiting on 25 January led to aspiration pneumo…
62y · Male·hepatic encephalopathy due to acute renal failure
…ognized his liver failure required higher-level care. Medical management in hospital included flexible sigmoidoscopy for bleeding, fluid resuscitation, and palliative care planning with family. The coroner found care, s…
67y · Male·Faeculent peritonitis due to perforation of a sigmoid volvulus
Ross Butler, a 67-year-old with dementia and Parkinson's disease, presented with abdominal pain and decreased appetite. A sigmoid volvulus was identified and a rectal tube successfully inserted for decompression. Conserv…
48y · Male·Hypoxic brain injury following cardiac arrest in a patient with sigmoid colon vo…
Daniel Allan Sullivan, a 48-year-old man with chronic paranoid schizophrenia who had been an involuntary patient at Graylands Hospital for 23 years, presented to Sir Charles Gairdner Hospital on 13 June 2004 with abdomin…
55y · Female·Complications of metastatic colorectal carcinoma
Lorinda Ruff, a 55-year-old woman with intellectual disability and bipolar disorder, died from complications of metastatic colorectal carcinoma. She presented to her GP on 29 July 2019 with three days of appetite loss an…
61y · Male·Pneumonia
Kenneth Morrison, a 61-year-old man with Down's syndrome, dementia and multiple comorbidities, died from pneumonia following hospitalisation at Casey Hospital in March 2008. Community Residential Unit (CRU) carers raised…
65y · Male·metastatic rectal cancer with extensive lung metastases
A 65-year-old man died from metastatic rectal cancer with extensive lung metastases while serving a prison sentence. He had presented with rectal bleeding symptoms since 2011 and returned a positive faecal occult blood t…
42y · Male·Aspiration pneumonia in the setting of impacted large bowel in a man with intell…
Chris Perdios, a 42-year-old man with intellectual disability, autism, and chronic constipation, died from aspiration pneumonia complicated by an impacted large bowel. He was admitted to hospital on 12 October 2018 with …
64y · Male·aspiration pneumonia following insertion of a jejunostomy tube
Ronald Brockel, a 64-year-old with cerebral palsy, oropharyngeal dysphagia, and recurrent aspiration pneumonia, underwent insertion of a feeding jejunostomy tube (FJT) on 23 December 2004 to bypass his stomach and improv…
26y · Female·cardiorespiratory arrest due to massive gastric dilatation with gastric rupture
Assunta Petroccia, a 26-year-old woman, died from cardiorespiratory arrest due to massive gastric dilatation with rupture following a bulimic episode. She presented to hospital with severe abdominal pain and was incorrec…
74y · Male·Sepsis secondary to fistulating Crohn's disease and post-surgery complications f…
Christopher Essery, a 74-year-old man with complex fistulating Crohn's disease, died from sepsis following surgery on 24 January 2019. He was transferred to Princess Alexandra Hospital (PAH) on 31 August 2018 for special…
41y · Male·Cerebral hypoxia and bronchopneumonia; contributing factors: toxic megacolon, ce…
David Orton, a 41-year-old man with cerebral palsy, intellectual disability, and severe kyphoscoliosis, died from cerebral hypoxia and bronchopneumonia complicated by toxic megacolon and Salmonella infection. Over 18 mon…
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