68y · Male·community-acquired pneumonia in a setting of advanced centriacinar emphysema, al…
…des, cachexia, and metabolic derangement. Critical clinical lessons include: (1) documentation of prior splenectomy was absent despite characteristic blood film findings (Howell-Jolly bodies) in 2012 and imaging finding…
57y · Male·streptococcus pneumonia septicaemia due to splenectomy
Maarouf El-Cheikh, a 57-year-old man with splenectomy history, presented to Calvary Hospital ED with sepsis on 21 March 2016 and died 22 March 2016. Expert r…
78y · Male·Complications of bowel surgery; specifically post-operative chest infection and …
…s and multi-organ failure. Death resulted from post-operative complications including overwhelming post-splenectomy infection (OPSI) in a patient with recurrent MALT lymphoma predisposing to infection. Critical clinical…
6y · Female·Brain stem herniation due to pneumococcal meningitis
Lilli Sweet, a 6-year-old asplenic child with hereditary spherocytosis, died from pneumococcal meningitis with brain stem herniation. She presented to Nambour Hospital ED with vomiting, diarrhea, and headache on 25 Augus…
38y · Female·Pulmonary Thromboembolism
…ests. At Sir Charles Gairdner Hospital, Dr T. managed her pancreatic surgery (distal pancreatectomy and splenectomy) and subsequent emergency laparotomy for septic pancreatic leak, coordinating anticoagulation with hepa…
60y · Male·metastatic atrial sarcomatoid tumour
Steve Fesus, aged 60, died in custody at Prince of Wales Hospital from metastatic atrial sarcomatoid tumour. He had been diagnosed with cardiac cancer in 2016, underwent surgery, and was in remission until metastases wer…
78y · Male·head injury sustained when struck by a car
A 78-year-old man with a history of gastric cancer, depression, and splenectomy was struck by a car while crossing a street in Sydenham. He sustained severe head injury with bilateral…
57y · Male·Small bowel perforation complicating small bowel obstruction arising from intra-…
Agostino Cutugno, a 57-year-old prisoner with intellectual disability (IQ 55) and history of self-inflicted abdominal stab wounds, died from small bowel perforation complicating obstruction due to intra-abdominal adhesio…
77y · Female·multi-organ failure due to massive transfusion-induced coagulopathy following re…
A 77-year-old woman died from multi-organ failure following massive transfusion-induced coagulopathy after a retroperitoneal haemorrhage of unknown origin post-knee replacement surgery. While Fragmin anticoagulation was …
16y · Female·intra-abdominal haemorrhage due to ruptured spleen
A 16-year-old girl died from intra-abdominal haemorrhage due to ruptured spleen following a car rollover. She was transported by ambulance to the nearest hospital (Renmark) rather than the better-equipped Berri Hospital,…
44y · Female·pulmonary thromboembolism in a woman with likely myeloproliferative neoplasm
A 44-year-old previously healthy woman with BMI 30.5 and minimal comorbidities (snoring, back pain, knee pain) underwent elective sleeve gastrectomy for weight loss. Nine days post-op she presented with splenic rupture r…
71y · Male·Complications following a right hepatic artery injury following an open cholecys…
A 71-year-old man with myelofibrosis and prior abdominal surgery died from complications of a right hepatic artery injury during open cholecystectomy for acute cholecystitis. The operative decision was reasonable and the…
4y · Male·respiratory failure secondary to pneumonia on a background of Niemann Pick Type …
Lebron Martin was a 4-year-old Aboriginal child with Niemann-Pick Type C disease, a progressive neurodegenerative disorder. He died from respiratory failure secondary to pneumonia in December 2017. Four months prior to h…
26y · Male·Air embolism due to ruptured spleen (surgery) due to motorcycle accident
John Mathers, 26, died from air embolism during emergency surgery following severe motorcycle trauma. A sedan turned across his path; despite heavy braking, he collided and suffered extensive injuries including ruptured …
34y · Male·multi-organ failure with right-sided tension pneumothorax
A 34-year-old man with a ruptured spleen and fractured ribs presented to the Emergency Department on multiple occasions with abdominal and chest pain. He was discharged on 28 February, 5 March and 6 March without admissi…
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