51 results for “surgical resection”
Female·multi-organ failure
Mrs M died from multi-organ failure following recurrent intra-abdominal sepsis and surgical complications after endoscopic duodenal perforation in June 2019. During resection of a duodenal adenoma,…
70y · Male·complications arising from craniofacial resection and orbital exenteration for r…
A 70-year-old man died following complex craniofacial resection and orbital exenteration for right sinonasal adenocarcinoma. Multiple surgical complications occurred in…
57y · Male·Small bowel ischaemia (operated) with incarcerated umbilical hernia
…rnia with small bowel ischaemia requiring emergency surgery. He died from multiple organ failure despite resection of four metres of ischaemic bowel. The coroner found no clinical issues with his hospital care. The case…
50y · Female·Irreversible hypoxic brain injury sustained during surgery for meningioma resect…
…e X Syndrome and a brain meningioma, died from irreversible hypoxic brain injury sustained during tumour resection surgery. Significant intraoperative blood loss (4,500ml estimated) occurred, with major discrepancies be…
60y · Male·metastatic atrial sarcomatoid tumour
…ssion until metastases were discovered in April 2020 whilst in prison. He received appropriate palliative surgical resection and oncological care, with frank discussions about his poor prognosis and incurable condition. …
49y · Male·pneumonia, hypoxic brain injury and cardiac arrest
49-year-old male with chronic cannabis dependence and depression developed post-surgical delirium following emergency anterior resection for perforated diverticulum. He became acutely agitated a…
45y · Male·Complications of VATS procedure for locally advanced right upper lobe lung adeno…
…ing initial surgery, the tumour invaded the T6 vertebral body. The surgeon, faced with incomplete tumour resection or vertebral body excision, chose to remove part of the vertebra. Post-operative spinal cord compression…
65y · Male·peritonitis and necrosis of the bowel following a ruptured appendix
…on and transection developed due to intestinal ischaemia from the patient's chronic coronary disease, not surgical error. The coroner found no negligence and determined death resulted from natural disease progression. An…
64y · Male·Postoperative intra-abdominal bleeding from pancreatic artery injury and its con…
…ative intra-abdominal hemorrhage following colonic surgery. One week earlier, he underwent high anterior resection and hernia repair for a malignant polyp. Post-operatively, he developed hemorrhage from a small pancreat…
79y · Male·complications of peritonitis
… requiring emergency Hartmann's procedure. The operating surgeon, Dr L.-Ming Schmidt, made a catastrophic surgical error by exteriorising the wrong end of bowel as a stoma, causing iatrogenic mechanical bowel obstruction…
75y · Female·hypovolaemic shock from excessive blood loss
…McDonald, age 75, died from hypovolaemic shock due to massive intraoperative bleeding during an anterior resection for rectosigmoid adenocarcinoma. Critical deficiencies included: no pre-admission clinic assessment, no …
62y · Female·Complications arising from elective laparoscopic Hartmann's procedure for recurr…
… Death resulted from post-operative ileus and aspiration complications. The finding emphasises that while surgical intervention was clinically necessary for her poor prognosis condition, post-operative deterioration desp…
65y · Male·Middle cerebral artery stroke in a man with multiple medical co-morbidities
Winfried Medenbach, a 65-year-old man with tuberous sclerosis, severe intellectual disability, epilepsy, and history of bowel complications, died from a middle cerebral artery stroke. He had been admitted to hospital in …
65y · Male·ischaemic heart disease following complications of colorectal surgery
…cated by anastomotic breakdown causing sepsis on day 12 post-discharge, requiring readmission. A retained surgical sponge was discovered during emergency reoperation but experts unanimously agreed it did not cause the an…
58y · Female·acute peritonitis, which led to the development of acute septicaemia following a…
…e patient developed acute liver failure secondary to ischemic hepatitis. The coroner found no evidence of surgical error, inappropriate care, or preventable factors. The deceased fell within the rare but documented morta…
62y · Male·bronchopneumonia in a man receiving terminal palliative care for metastatic carc…
Robin David Macartney, a 62-year-old prisoner serving a life sentence for murder, died from bronchopneumonia secondary to metastatic colon cancer. He was diagnosed with sigmoid colon cancer in December 2006 but refused s…
55y · Male·Multi-system failure complicating intra-operative haemorrhage due to inadvertent…
… insufficient clipping. Although he recognized the error and converted to open surgery, requesting senior surgical assistance, the bowel became ischaemic. The patient was transferred to Albury Hospital ICU then St Vincen…
85y · Male·Liver ischaemia and portal vein thrombosis complicating emergency cholecystectom…
…intraoperatively. Surgeons responded appropriately to unexpected complications. The death was an accepted surgical risk in a high-risk patient.
74y · Male·Sepsis secondary to fistulating Crohn's disease and post-surgery complications f…
… intra-abdominal collections. Critical systemic failures occurred: (1) no early post-admission colorectal surgical consultant review despite this being the stated purpose of transfer; (2) the assigned surgeon (Dr G.) wen…
53y · Female·sepsis and multiple organ failure attributable to infarction/necrosis of small b…
…ry 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 multiple org…
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