Skip to content
recurance

Yahya Khan

22 Jul 2014 · Coroner Edward Thomas · Hertfordshire

The coroner's concerns

  1. 1. failure to diagnose acute appendicitis in a child under 2 years

    “I am writing to you under the provisions of Schedule 5 (paragraph 7) of the Coroners and Justice Act 2009 which came into force in July 2013. This reenacted the provisions of the old Rule 43 of the Coroners Rules '1984. Attached to this letter is information concerning the new rules and regulations from which you will see a written response is required from you. Copies of this letter and the response received from you to be foruarded to the other interested persons properly identified at the Inq”
  2. 2. missed diagnosis of acute appendicitis with associated liver abscesses and secondary complications

    “[the deceased] had died from an undiagnosed natural condition, namely acute appendicitis. I am told by experienced clinicians who attended the inquest that this condition is extremely rare in a child under the age of 2yrs and with all their wealth of experience they could only identify two cases that any of them had previously been involved with.”
  3. 3. failure to integrate prior consultations into diagnostic decision making

    “Previous consultation/s should be considered in any decision as to what tests should be carried out and whether or not to admit to hosoital.”
  4. 4. inappropriate attribution of serious symptoms to benign causes such as teething

    “The reviewer felt that the use of teething to account for such symptoms should be discouraged.”

Responses

No published response was found on judiciary.uk.

  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error