A 72-year-old man died from a ruptured abdominal aortic aneurysm while in custodial care. He was admitted to Prince of Wales Hospital following a fall in prison with symptoms of light-headedness and tunnel vision. Clinical assessment identified urinary tract infection, chest infection, and cardiac concerns. He deteriorated rapidly, was transferred to ICU, and despite intubation and resuscitation, died. The coroner found his care and treatment whilst in custody was appropriate, with timely transfer to hospital when required. The death was of natural causes, and no clinical negligence or failures in care were identified. Clinicians appropriately declined invasive cardiac intervention as unsuitable. The case highlights the challenge of detecting AAA in elderly patients with multiple comorbidities.
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