McNabb, Inquest Touching Upon the Death Of [2025] NICoroner 7 (05 November 2025)

McNabb, Inquest Touching Upon the Death Of [2025] NICoroner 7 (05 November 2025)

Triona Rose McNabb died as a result of complications of NSAID-induced enteropathy leading to small bowel obstruction, with contributing factors including delays in diagnosis, missed opportunities for earlier intervention, inadequate fluid monitoring, and suboptimal handover and staffing at South West Acute Hospital. The failures in care did not amount to gross negligence but represented significant shortcomings in hospital systems and clinical management.

Citation
[2025] NICoroner 7
Parties
Deceased: Triona Rose McNabb (deceased); Coroner: Coroner Maria Dougan
Jurisdiction
Northern Ireland
Judgment Date
05 November 2025
Procedural Posture
Inquest / Findings
Outcome
Death due to complications of NSAID-induced enteropathy with small bowel obstruction; contributed to by shortcomings in hospital care.
Legal Topics
Inquest Procedure, Hospital Care Standards, Medical Misadventure, Cause of Death Determination

Case Brief

Summary, issues, holding and outcome

More case intelligence is available

Unlock the full research layer for this judgment.

Full judgment text Downloadable case file Legal principles 2 Authorities cited 2 Party arguments 2 Amounts and remedies 2
Sign in to unlock

Parties

Triona Rose McNabb (deceased)

Deceased

Coroner Maria Dougan

Coroner

Procedural Posture

Inquest / Findings

  1. 1 What was the medical cause of death of Triona Rose McNabb?
  2. 2 Were there missed opportunities or failures in her medical care contributing to her death?
  3. 3 Was the care provided at South West Acute Hospital appropriate and in accordance with standards?

Ratio Decidendi

Triona Rose McNabb died as a result of complications of NSAID-induced enteropathy leading to small bowel obstruction, with contributing factors including delays in diagnosis, missed opportunities for earlier intervention, inadequate fluid monitoring, and suboptimal handover and staffing at South West Acute Hospital. The failures in care did not amount to gross negligence but represented significant shortcomings in hospital systems and clinical management.

Court Disposition

Death due to complications of NSAID-induced enteropathy with small bowel obstruction; contributed to by shortcomings in hospital care.