Coronial

12 results for small bowel necrosis

WAhome2026-02-23

Inquest into the Death of Child MML

11y · Male·Bronchopneumonia and small bowel necrosis with perforation, in a boy with multic…

…epartment of Communities, who provided exemplary 24-hour care. He died at age 11 from bronchopneumonia and bowel perforation, natural consequences of his severe disability. The coroner found the care provided by his gra…

neurologypaediatricscommunicationsystem
VICaged care2024-01-11

Finding into death of Phyllis Joan Porter

72y · Female·Large rectal prolapse and ischaemic bowel

…an with intellectual disability residing in aged care presented with a large rectal prolapse and ischaemic bowel. She was found on the floor of her room with a prolapse containing approximately 80cm of non-viable small

emergency medicinesurgeryfluoxetine
VIChospital2013-07-29

Finding into death of Beverley Pattinson

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…

emergency medicinegeneral practicediagnosticcommunicationmetoclopramide
TAShospital2018-05-30

Coroner's Finding: Forward, Trudi Maree

53y · Female·sepsis and multiple organ failure attributable to infarction/necrosis of small b…

…ng surgery locally. Surgery began at 7:06 PM on 20 August (40 hours after onset). Despite thrombectomy and bowel resection, the patient developed extensive small bowel necrosis and died on 27 August from sepsis and mult…

emergency medicinegeneral surgerydiagnosticdelay
SAhospital2013-09-30

Coroner's Finding: GIANNINI Pasquale

68y · Male·infarction of the small and large bowel due to superior mesenteric artery thromb…

…a. By the time mesenteric ischaemia was suspected the following morning and imaging arranged, irreversible bowel necrosis had occurred. The coroner found that earlier recognition of mesenteric ischaemia as a differentia…

general practiceemergency medicinediagnosticdelayaugmentin duo
QLDhospital2026-06-09

Inquest into the death of Rosemarie Campbell

62y · Female·Acute bacterial peritonitis and pneumonia

… findings and did not review her before discharge. Had she remained in hospital for proper assessment, the bowel obstruction would likely have been diagnosed and treated surgically, preventing death. The coroner identif…

bariatric surgeryanaesthesiadiagnosticproceduralesomeprazole
NThospital2018-09-21

Inquest into the death of David Fensom

67y · Male·multi-organ failure due to septic shock consequent on faecal peritonitis due to …

…d abdominal pain post-operatively. A laparoscopy on 8 October misinterpreted findings and missed ischaemic bowel—a critical diagnostic error. The expert review identified a 48-hour delay before appropriate laparotomy on…

general surgeryemergency medicinediagnosticcommunicationfentanyl
QLDhospital2023-02-13

Hunter- Non-inquest findings

8y · Male·ischaemic bowel due to strangulated small bowel obstruction secondary to congeni…

An eight-year-old boy with autism spectrum disorder (level 1) died from ischaemic bowel due to strangulated small bowel obstruction from a rare congenital band adhesion. He presented to a region…

surgerypaediatricsdiagnosticcommunicationondansetron
TAShospital2024-10-10

Coroner's Finding: Hill, James Fredrick

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…

emergency medicineorthopaedic surgerydiagnosticcommunication
SAhospital2001-05-04

Coroner's Finding: ROACH Dawn Ruth

45y · Female·Multi-organ failure due to septicaemia and peritonitis due to faecal leakage fro…

…ti-organ failure following failure of a loop colostomy created for management of an anastomotic leak after bowel cancer surgery. The initial anastomotic leak (1.5 cm) was contained and reasonably managed conservatively.…

colorectal surgerygeneral surgeryproceduralcommunication
WAhospital2013-01-17

Inquest into the Death of Aslett, Wendy May

60y · Female·Multiple organ failure following hemorrhage from penetration of the femoral arte…

…er 2010. An Angio-Seal device was used to close the puncture site. She was discharged on 22 October with a small hematoma. By 25 October, she presented to her GP with a dramatically enlarged, extremely painful hematoma.…

cardiologyemergency medicinediagnosticcommunicationprasugrel
VIChospital2012-03-02

Finding into death of Elsa Harrington

45y · Female·Multisystem organ failure secondary to acute liver failure associated with parac…

… liver failure secondary to paracetamol toxicity in November 2002. She was admitted post-hysterectomy with bowel obstruction and underwent adhesion surgery. Following surgery, she received therapeutic doses of paracetam…

general surgerycardiologydiagnosticcommunicationparacetamol

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