Coronial
SAhospital

Coroner's Finding: WALPOLE Gary Frederick

Deceased

Gary Frederick Walpole

Demographics

49y, male

Date of death

2003-10-19

Finding date

2005-02-01

Cause of death

small intestinal infarction due to mesenteric and portal vein thrombosis associated with polycythaemia rubra vera

AI-generated summary

Gary Walpole, a 49-year-old teacher with polycythaemia rubra vera, died from small intestinal infarction due to mesenteric and portal vein thrombosis. He was admitted to Royal Adelaide Hospital with oesophageal varices from portal hypertension, treated with endoscopic banding. On 19 October 2003, he became delirious and agitated, leading to involuntary detention under the Mental Health Act. He was found unresponsive at 6:15am and died despite resuscitation. The coroner found his clinical treatment timely and appropriate. The forensic pathologist noted treatment of this condition is exceptionally difficult—anticoagulation risks haemorrhage while haemostasis allows thrombosis progression. No preventable errors were identified, though the family raised concerns about communication and lack of notification during his final agitated episode.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.

Contributing factors

  • polycythaemia rubra vera with increased blood viscosity and thrombotic tendency
  • portal vein thrombosis with splenic and mesenteric vein involvement
  • oesophageal and gastric varices from portal hypertension
  • delirium and agitation in terminal phase
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