Coronial

20 results for upper gastrointestinal bleeding

TAShospital2025-06-17

Coroner's Finding: de-identified RS

68y · Male·Exsanguination due to peptic ulcer of the duodenum with erosion into the gastrod…

A 68-year-old man presented to the emergency department with two episodes of fresh rectal bleeding and elevated blood urea. Despite stable vital signs, he was discharged after two hours with haemorrhoid s…

emergency medicinegastroenterologydiagnosticdelay
VIChospital2016-09-15

Finding into death of Bernas Hasibuan

50y · Male·gastrointestinal haemorrhage; haemorrhage from cystic artery post laparoscopic c…

A 50-year-old man died from gastrointestinal haemorrhage involving both a cystic artery and duodenal defect following laparoscopic cholecystectomy…

general surgeryintensive carediagnosticcommunication
NSWhospital2025-08-22

Inquest into the death of Frank Valentine

83y · Male·Congestive cardiac failure due to ischaemic and valvular heart disease, with her…

…years due to his complex cardiac and haematological conditions. His final admission involved management of upper gastrointestinal bleeding secondary to HHT telangiectasias, complicated by the need to balance anticoagula…

cardiologygastroenterologywarfarin
SAhospital2010-10-25

Coroner's Finding: CAMERON Louise Cherise

32y · Female·ischaemic heart disease complicated by upper gastrointestinal haemorrhage

…s with a single troponin test and ECG. She died the next day from acute coronary thrombosis complicated by upper gastrointestinal haemorrhage. Critical omissions included: failure to perform a rectal examination despite…

emergency medicinecardiologydiagnosticproceduralmorphine
QLDhospital2016-02-29

Mr B - Non-inquest findings

84y · Male·Acute myocardial infarction precipitated by upper gastrointestinal haemorrhage f…

…who refused blood transfusions. Rivaroxaban cannot be monitored or reversed, unlike warfarin. He developed upper gastrointestinal bleeding from a gastric ulcer, possibly exacerbated by concurrent use of a naturopathic c…

cardiologyhaematologymedicationcommunicationrivaroxaban
NSWhospital2023-09-13

Inquest into the death of Jeffrey Blundell

44y · Male·cardiogenic shock, on a background of severe tricuspid valve regurgitation, seve…

…to severe pulmonary hypertension and right ventricular dysfunction, with surgery contraindicated by recent upper GI bleeding requiring anticoagulation. Both gastroenterology and cardiothoracic experts found the medical …

cardiothoracic surgerycardiologyhydromorphone
SAhospital2016-09-01

Coroner's Finding: CALLAGHAN Brian Francis

79y · Male·Multi-organ failure due to pneumonia and bleeding duodenal ulcer complicating su…

…taining a left hip fracture requiring surgery. Post-operatively, he developed hospital-acquired pneumonia, upper gastrointestinal bleeding from a duodenal ulcer, acute kidney injury, and severe delirium requiring Mental…

general surgeryorthopaedic surgery
SAhospital2021-11-25

Coroner's Finding: Cannell, Peter Tasman

48y · Male·Multi-organ failure from acute gastrointestinal haemorrhage associated with oeso…

Peter Tasman Cannell, aged 48, died in Flinders Medical Centre from multi-organ failure due to acute gastrointestinal haemorrhage from oesophageal varices on a background of liver cirrhosis. He had a medical history of …

gastroenterologyhepatology
TAShospital2024-06-27

Coroner's Finding: Patterson, Alexander Frank

65y · Male·Bleeding duodenal ulcer

…e 2 diabetes presented to hospital with haematemesis, hypoglycaemia, and postural hypotension caused by a bleeding duodenal ulcer. He was misdiagnosed with atypical pneumonia causing confusion. Critical diagnostic signs …

emergency medicinegastroenterologydiagnosticcommunication
QLDhospital2006-09-13

Rawson, Robert Donald

68y · Male·Internal haemorrhage due to coagulopathy and upper gastrointestinal varices, cir…

…y contributed significantly to death, which resulted from rapid hepatic decompensation, coagulopathy, gastrointestinal bleeding, and acute cardiac events. The coroner recommended Queensland Health address equipment stand…

general surgeryrespiratory medicinesystemproceduralfresh frozen plasma
VIChospital2014-07-16

Finding into death of Beverly Davidge

78y · Female·Acute gastrointestinal haemorrhage

…Davidge, a 78-year-old woman with intellectual disability living in residential care, died from acute gastrointestinal haemorrhage in hospital. She presented initially with haematemesis and melaena on 11 November 2013, w…

gastroenterologygeneral medicine
VIChospital2026-07-27

Finding into death of Alan Gordon Wolstenholme

72y · Male·Complications of suspected upper gastrointestinal tract haemorrhage, hospital ac…

…sive from opioid overdose and required naloxone reversal. Despite ICU treatment, he subsequently developed upper gastrointestinal bleeding, acute kidney injury, hospital-acquired pneumonia, and died. The coroner found t…

cardiologyemergency medicinemedicationsystembuprenorphine
VIChome2026-06-26

Finding into death of Kerrie Terese Berlowitz

78y · Female·Hypernatraemia in the setting of lowered oral intake

…she had a choking incident and was admitted to Frankston Hospital with severe dehydration, hypernatraemia, upper gastrointestinal bleeding, and possible aspiration pneumonia. Despite treatment with intravenous fluids, a…

general practicedietetics
TAShospital2019-04-18

Coroner's Finding: Kenney, Margaret Patricia

83y · Female·upper gastrointestinal bleed with haemodynamic compromise following anticoagulat…

Margaret Patricia Kenney, 83, died from upper gastrointestinal bleeding complicated by cardiac arrest while anticoagulated for atrial fibrillation. She …

general medicinecardiologymedicationdiagnosticpantoprazole
TAShospital2022-10-07

Coroner's Finding: Willetts, Ernest Charles

80y · Male·aspiration pneumonia

…pneumonia following an appendectomy. On hospital day 3, he developed coffee-ground vomitus indicating gastrointestinal bleeding. A gastroscopy was performed that afternoon to identify the bleeding source, but he aspirate…

surgerygastroenterologycommunicationsystempariet
QLDhospital2026-07-07

Inquest into the death of Christopher Doughty

67y · Male·Multi-organ failure secondary to acute myocardial infarction secondary to in-ste…

…stopher Doughty, 67, was admitted to Hervey Bay Hospital on 17 September 2021 with a life-threatening gastrointestinal bleed two months after receiving coronary stents. The bleed was likely caused by dual antiplatelet th…

cardiologyemergency medicinecommunicationproceduralaspirin
QLDhospital2015-11-03

Steer, Summer Alice

4y · Female·Haemorrhage due to aorto-oesophageal fistula caused by ingestion of a button bat…

…for at least 3 days. Critical diagnostic failures occurred: the initial GP failed to consider serious gastrointestinal pathology when the child presented with abdominal pain and likely black stools (melaena), treating pr…

general practiceemergency medicinediagnosticcommunicationmetronidazole/flagyl
QLD2017-08-04

Mrs H - Non-inquest findings

76y · Female·Acute renal failure due to dehydration due to upper gastrointestinal bleed

A 76-year-old woman with chronic pain was admitted to a small rural hospital on 1 April 2015 with haematemesis secondary to NSAID use. Blood tests were ordered on admission but not transported to the district hospital fo…

general medicinegastroenterologydiagnosticcommunicationibuprofen
QLDhospital2011-06-10

Conlan, Kathleen Anne

70y · Female·Cardiac arrest caused by a combination of gastric haemorrhage and pneumonia exac…

…d was appropriately admitted for investigation. Initial blood tests and CT scan showed no evidence of gastrointestinal bleeding. Her symptoms improved and she was discharged, but re-admitted hours later when blood tests …

emergency medicinesurgerydelaymorphine
NThospital2020-07-17

Inquest into the death of Ishmael Nawirridj

51y · Male·Multiple organ failure due to Influenza A pneumonia, in the context of chronic k…

Ishmael Nalaiyir Nangarid, a 51-year-old Aboriginal man with complex medical history including myasthenia gravis, chronic kidney disease, COPD, and ischaemic heart disease, died from multiple organ failure due to Influen…

intensive carerespiratory medicinemedicationmeropenem

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