Multi-organ failure from acute gastrointestinal haemorrhage associated with oesophageal varices on a background of liver cirrhosis
AI-generated summary
Peter Tasman Cannell, aged 48, died in Flinders Medical Centre from multi-organ failure due to acute gastrointestinal haemorrhage from oesophageal varices on a background of liver cirrhosis. He had a medical history of hepatitis C, cirrhosis, thrombocytopenia, and anaemia. Clinical warning signs were present: he reported blood in stool in 2016 and black stools in 2018, both concerning for gastrointestinal bleeding. In August 2019, his haemoglobin had dropped from 142 to 118 over three months, prompting specialist referral. On 2 September, he suffered massive variceal bleeding while imprisoned, with approximately 1.5 litres blood loss. The coroner found no deficiency in care. Early recognition of bleeding risk and expedited gastrointestinal evaluation (particularly given his refusals of colonoscopy) may have enabled preventive intervention such as variceal banding or beta-blocker prophylaxis before catastrophic haemorrhage occurred.
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Specialties
gastroenterologyhepatologyintensive careemergency medicinecorrectional health
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