12 results for “stoma formation”
69y · Male·neck compression due to hanging
GL, a 69-year-old Chinese national, died by hanging in Long Bay Correctional Centre's Medical Services Unit on 12 April 2022. He was incarcerated following the murder of his wife in September 2020 and had become a parapl…
45y · Female·Multi-organ failure due to septicaemia and peritonitis due to faecal leakage fro…
…ss drainage. These deficiencies led to predictable failure. Despite early nursing warning signs (darkening stoma from 6 May), the patient was inappropriately discharged on 11 May 1998 while unwell and unable to manage t…
79y · Male·complications of peritonitis
…rgeon, Dr L.-Ming Schmidt, made a catastrophic surgical error by exteriorising the wrong end of bowel as a stoma, causing iatrogenic mechanical bowel obstruction. The error went undetected for 8 days despite clinical si…
52y · Female·haemorrhage from a tracheal-innominate artery fistula complicating a tracheostom…
…ophic haemorrhage in 34-50% of cases, the observed bleeding (3mls) was ambiguous and could represent minor stoma bleeding rather than herald bleeding. Bronchoscopy, angiography, and other investigations would have low d…
71y · Male·Plastic bag asphyxia and argon gas inhalation
A 71-year-old man with metastatic bladder cancer, chronic renal failure, and recent dialysis initiation deliberately ended his life using argon gas inhalation. Over 12 years of progressive cancer treatment, multiple surg…
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…
77y · Male·shock due to bowel ischaemia following massive blood loss due to bleeding of the…
Anthony George Bennett, a 77-year-old man with significant comorbidities including ischaemic heart disease, atrial fibrillation, peripheral vascular disease, and end-stage kidney disease, died from shock due to bowel isc…
67y · Female·perforated sigmoid volvulus with peritonitis upon a background of spinocerebella…
Betty Irene Ball, aged 67, died from perforated sigmoid volvulus with peritonitis on 2 February 2016. She had spinocerebellar ataxia and was resident in aged care. She developed constipation from 15 January 2016, but med…
11y · Male·complications of bowel obstruction in the setting of chronic constipation
RDZ was an 11-year-old Aboriginal boy who died from complications of bowel obstruction secondary to chronic constipation with a fecalith. He had been under paediatric care for years with multiple admissions for bowel was…
76y · Male·multiple organ failure due to large volume aspiration of gastric contents during…
Maurice Nancarrow, 76, died from multiple organ failure following aspiration of gastric contents during anaesthetic induction for cystoscopy on 15 August 2015. He had undergone colorectal surgery on 30 July with complica…
8y · Male·prematurity-associated lung and bowel disease
…5) treating clinicians were unaware of child safety concerns and multiple home-visit observations; (6) information sharing between hospital and child safety was inadequate; and (7) clinical escalation pathways for decli…
70y · Male·severe metabolic acidosis due to multi organ failure including liver ischaemia
70-year-old Sean Thomas Montgomery died from severe metabolic acidosis and multi-organ failure following a thoracoscopic repair of a chronic right diaphragmatic hernia. The coroner identified multiple significant failing…
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