Acute renal failure complicating end stage liver cirrhosis with resultant encephalopathy and coagulopathy
AI-generated summary
A 57-year-old man with end-stage alcoholic liver cirrhosis died of acute renal failure complicated by hepatic encephalopathy and coagulopathy while detained under mental health legislation. He presented with severe liver disease, ascites, cellulitis, and encephalopathic behaviour, requiring involuntary detention due to poor judgment and repeated self-discharge against medical advice. During hospitalisation, he was non-compliant with lactulose therapy for encephalopathy management and refused a nasogastric tube. He developed acute renal failure with very poor prognosis. The coroner found his detention lawful and medical treatment appropriate given the limitations of his advanced liver disease and lack of cooperation. His death resulted from natural causes related to his underlying cirrhosis and its complications.
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