11 results
65y · Male·metastatic rectal cancer with extensive lung metastases
A 65-year-old man died from metastatic rectal cancer with extensive lung metastases while serving a prison sentence. He had presented with rectal bleeding symptoms since 2011 and returned a positive faecal occult blood t…
53y · Male·metastatic carcinoma of the rectum (operated)
Paul Eugene Anker, a 53-year-old prisoner, died from metastatic rectal carcinoma at the Queen Elizabeth Hospital. He had been appropriately diagnosed with bowel cancer in 2016 whilst in custody and underwent surgery, che…
9y · Female·peritonitis due to perforated small bowel due to blunt abdominal trauma
Nine-year-old Leila Baartse-Harkin died from peritonitis due to a perforated small bowel sustained when she fell from a swing. Despite three medical encounters within 36 hours, the perforation was never diagnosed. At a r…
71y · Male·acute pyelonephritis with contributing ischaemic heart disease
A 71-year-old male prisoner died from acute pyelonephritis with contributing ischaemic heart disease at Flinders Medical Centre. He had advanced metastatic gastric cancer diagnosed in February 2011 after presenting with …
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 and paranoid, was detained …
61y · Female·respiratory failure secondary to advanced malignancy
Ms Carmelina Bellocco, aged 61, died from respiratory failure secondary to advanced metastatic colon cancer. She had longstanding paranoid schizophrenia with poor insight and compliance. Cancer was diagnosed in 2006 afte…
Female·Emily Ruth Leonard: multi-organ failure due to overwhelming sepsis from a perfor…
Two elderly women died following vaginal prolapse surgery performed by the same surgeon, Dr Onuma, with similar mechanisms: bowel perforation leading to peritonitis and sepsis. Mrs Leonard (77) underwent laparoscopic sur…
59y · Female·sepsis due to faecal peritonitis due to perforation of sigmoid colon complicatin…
A 59-year-old woman died from sepsis due to faecal peritonitis following a bowel perforation during laparoscopic oophorectomy for a benign ovarian cyst. The perforation was repaired during the initial surgery, but the re…
63y · Male·pneumonia complicating anoxic brain injury, due to post-operative haemorrhage as…
A 63-year-old man died from pneumonia complicating anoxic brain injury following a post-operative haemorrhage from the inferior epigastric artery during ileostomy closure surgery. The critical failure was a 2.5-hour dela…
38y · Male·multi organ failure secondary to intestinal ischaemia from toxic megacolon relat…
A 38-year-old man with chronic schizophrenia died from multi-organ failure secondary to intestinal ischaemia caused by toxic megacolon from severe constipation. He was a detained patient on Clozapine and Oxybutamin, both…
45y · Female·Multi-organ failure due to septicaemia and peritonitis due to faecal leakage fro…
A 45-year-old woman died from multi-organ failure following failure of a loop colostomy created for management of an anastomotic leak after bowel cancer surgery. The initial anastomotic leak (1.5 cm) was contained and re…
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