72y · Male·Complications of small bowel obstruction in a man with multiple medical co-morbi…
… presented to Austin Hospital with nausea, vomiting and decreased appetite. CT imaging revealed high-grade small bowel obstruction, large paraoesophageal hiatus hernia, and marked rectal faecal loading. Clinicians ident…
43y · Female·sepsis secondary to extensive acute peritonitis following perforation of small b…
43-year-old woman died from sepsis and necrotising fasciitis following small bowel perforation during laparoscopic tubal ligation. She was at high risk due to previous abdominal surge…
48y · Female·abdominal sepsis in a woman with coronary artery disease, post-repair small bowe…
…ed peritonitis and was transferred to Northern Hospital on 4 April. She died of abdominal sepsis caused by small bowel perforation following hernia repair, complicated by underlying coronary artery disease. The coroner …
59y · Male·Aspiration pneumonia secondary to recurrent anal squamous cell carcinoma with su…
…Dandenong Hospital with vomiting, lethargy and suspected urinary tract infection, aspiration pneumonia and small bowel obstruction. After initial ICU admission and improvement, he was transferred to Peter MacCallum Canc…
65y · Female·decompensated liver failure
…as admitted following an intoxicated fall causing an olecranon fracture. Post-operatively, she developed a small bowel obstruction and rapidly decompensated. Clinical lessons include: recognising that cirrhotic patients…
27y · Male·multiple organ failure due to the consequences of multiple gunshot wounds to the…
…t 2008 when he presented with vomiting and abdominal pain, which led to emergency surgery revealing a rare small bowel volvulus requiring total bowel resection. Expert evidence established that this volvulus was excepti…
3y · Female·peritonitis caused by small bowel perforation due to blunt force trauma
A 3-year-old girl died from peritonitis caused by small bowel perforation. Expert evidence established the perforation resulted from blunt force trauma, not natur…
Female·Emily Ruth Leonard: multi-organ failure due to overwhelming sepsis from a perfor…
…men died following vaginal prolapse surgery performed by the same surgeon, Dr O., with similar mechanisms: bowel perforation leading to peritonitis and sepsis. Mrs Leonard (77) underwent laparoscopic surgery on 30 Octob…
70y · Female·Severe dehydration and renal complications secondary to intestinal obstruction d…
…enting dark bile vomiting and the patient's known pending hernia repairs, leading to a missed diagnosis of bowel obstruction. A subsequent general practitioner, though ordering appropriate supportive care, similarly did…
41y · Male·Stab wound to the abdomen
…ound to the abdomen sustained during an altercation at a service station. He suffered a single penetrating injury to the left abdomen adjacent to the umbilicus, causing haemoperitoneum and injuries to small and large bow…
51y · Female·peritoneal sepsis with multiple organ failure due to perforation of bowel by for…
…l disability and schizoaffective disorder died from peritoneal sepsis and multiple organ failure caused by bowel perforation from a wooden stick. The stick entered her body via her vaginal canal. She presented with abdo…
11y · Male·bronchopneumonia and small bowel necrosis with perforation, in a boy with multic…
An 11-year-old Aboriginal boy died from bronchopneumonia and small bowel necrosis with perforation, following severe neurological impairment from an inflicted brain injury s…
40y · Male·Single gunshot wound to the shoulder, chest and abdomen
…bdomen, causing massive internal injuries including damage to the left lung, diaphragm, stomach, pancreas, small intestine, liver and splenic vein. Despite arriving at Royal North Shore Hospital alive and conscious, he …
74y · Male·small intestinal ischaemia caused by aortic atherosclerosis
…indicating infection and organ dysfunction, a MET call was not made for 18 hours. The underlying ischaemic bowel was not diagnosed until 9pm when he was critically ill with septic shock and multiple organ failure. By th…
24y · Male·Peritonitis secondary to a perforation of the small bowel
Nicholas Wells, a 24-year-old man, died from peritonitis secondary to small bowel perforation sustained in a motor vehicle accident. Although he was suspected of having a bowel injur…
56y · Female·Multiple injuries including small and large bowel damage, mesenteric damage with…
…e that had been applied during roadworks earlier that day. The vehicle collided with a tree. She sustained bowel and mesenteric injuries, lung contusions, and internal bleeding. Despite emergency surgery at Bunbury Regi…
49y · Male·unascertainable; possible explanations include epileptic seizure, cardiac arrhyt…
…f patients on clozapine—particularly regarding cardiac complications and metabolic effects—and appropriate bowel management in patients with psychiatric conditions affecting fluid and dietary intake.
9y · Female·peritonitis due to perforated small bowel due to blunt abdominal trauma
Nine-year-old Leila Baartse-Harkin died from peritonitis due to a perforated small bowel sustained when she fell from a swing. Despite three medical encounters within 36 hours, the perforat…
60y · Female·Cardiac tamponade due to ruptured heart due to total parenteral nutrition due to…
…used by TPN fluid leaking into the pericardium through a PICC line inserted to provide nutrition following bowel surgery. The PICC line was inserted under image intensification with appropriate technique and placement a…
68y · Male·pulmonary thromboembolism in the setting of recent surgery
…loped multiple post-operative complications including fever, elevated inflammatory markers, and a possible bowel perforation requiring re-operation. A MET call at 5:30am revealed non-specific symptoms consistent with se…
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