14 results for “surgical exploration”
64y · Male·necrotising fasciitis precipitated by a fishbone perforating his rectum, leading…
…is leading to necrotising fasciitis. Critical delays occurred: surgery was delayed 32 hours (justified by surgical scheduling), and more significantly, when he returned on 8 December with markedly elevated white cell cou…
68y · Female·Haemorrhage secondary to right subclavian artery lacerations sustained during ce…
…nising arterial puncture, appropriate escalation occurred with vascular surgery involvement and emergency surgical exploration and repair. However, the subclavian artery location prevented adequate manual pressure contro…
28y · Male·hypovolemia secondary to haemorrhage from operative exploration of multiple stab…
A 28-year-old Aboriginal male died from hypovolemic shock following operative exploration of multiple stab wounds to the thigh. The death was preventable. Critical failures included: delayed su…
30y · Female·Multi-organ failure due to multiple transfusions required for post-operative ble…
…on, found 1-1.5 litres of 'old blood' but no obvious bleeding source. Rather than continuing systematic exploration of the abdomen via the original transverse incision, he diagnosed pulmonary embolus and administered 10…
78y · Female·multi-organ failure due to haemorrhage into the abdomen, pelvis and retroperiton…
…, she became hypotensive and tachycardic during the posterior approach but surgery continued without re-exploration of the anterior site. Post-operative imaging failed to identify the bleeding source, though autopsy rev…
21y · Male·multi-organ failure due to septicaemia of mixed respiratory (bronchopneumonia) a…
Shannon Tang, a 21-year-old from Singapore with severe obesity (BMI 52) and multiple comorbidities including sleep apnoea, underwent elective laparoscopic gastric bypass surgery performed by Dr F.. He died on day 7 post-…
59y · Male·Ruptured atherosclerotic abdominal aortic aneurysm (operated)
… on 22 April 2008. Despite appropriate initial assessment identifying the AAA as requiring urgent repair, surgical staff deferred surgery twice—once at 3.20am and again at noon—delaying intervention for 34 hours. The pat…
72y · Male·Multiple organ failure due to sepsis caused by abdominal adhesions from previous…
Michael Hamilton, 72, presented with acute abdominal pain post-bladder surgery while anticoagulated with warfarin. Initial assessment suspected duodenal perforation based on CT findings; laparotomy was performed but foun…
66y · Female·acute necrotising haemorrhagic mediastinitis
Mrs Pratt, aged 66, underwent elective gastroscopy at Kapunda Hospital. During the procedure she heaved, and blood was noted at the gastro-oesophageal junction. She was discharged the same afternoon with pain, only to re…
0y · Male·multi-organ failure from septicaemia following surgical reduction of intussuscep…
…ht and was transferred to Canberra Hospital on 15 October morning where intussusception was diagnosed and surgically reduced, but Nathan died of septicaemia and multi-organ failure. Preventability hinged on earlier trans…
71y · Male·Complications following a right hepatic artery injury following an open cholecys…
…2 hours after initial hypotension at 11 pm). This delay prevented timely senior clinician involvement and surgical re-exploration. An arterial line requested for 24 hours post-op was inexplicably removed. Earlier MET act…
47y · Male·neck compression due to hanging
Wayne Mark Thomson, aged 47, died by hanging on 14 February 2000. He made multiple attempts to seek help for suicidal ideation in the preceding three days, including visiting his GP, calling a crisis assessment service (…
18y · Male·Multi organ failure due to sepsis from a Group A streptococcus infection
Alex Braes, an 18-year-old from Broken Hill NSW, died of multi-organ failure due to Group A streptococcus sepsis. He presented to Broken Hill Base Hospital three times over 24 hours with knee pain that progressed to seps…
25y · Female·ruptured splenic artery aneurysm with haemorrhage and internal blood loss
A 25-year-old pregnant woman (23 weeks) presented to hospital with sudden left upper quadrant abdominal pain and loss of consciousness. Clinical assessment identified renal colic and gallstones as likely diagnoses. She r…
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