Coronial
VIChospital

Finding into death of Ms AC

Deceased

Ms AC

Demographics

73y, female

Coroner

Coroner Sarah Gebert

Date of death

2023-04-11

Finding date

2024-03-07

Cause of death

Metastatic oesophageal cancer

AI-generated summary

Ms AC, a 73-year-old woman with longstanding physical disabilities, died from metastatic oesophageal cancer. She presented with progressive swallowing difficulties, weight loss, and elevated inflammatory markers from December 2022. Her GP appropriately investigated with a barium swallow in February 2023 revealing an oesophageal abnormality. She was admitted to hospital in March 2023 where oesophageal cancer was diagnosed on gastroscopy and biopsy. Oncology deemed the condition incurable and palliative care was initiated. An oesophageal stent was placed to improve oral intake. She was discharged for home-based palliative care but readmitted with increased drowsiness and died peacefully. The clinical pathway appears appropriate with timely investigations, prompt diagnosis, and compassionate end-of-life management in a woman with advanced metastatic disease.

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

Specialties

general practicegastroenterologyoncologyradiation oncologypalliative care

Clinical conditions

metastatic adenocarcinoma of oesophagusoesophageal obstructionmediastinal lymphadenopathypara-aortic lymphadenopathyleft pleural effusionurinary tract infectionVRE bacteraemiapoliomyelitiscerebral palsyischemic heart diseaseasthma

Procedures

barium swallowCT pulmonary angiogramgastroscopyCT scanoesophageal stent placement

Contributing factors

  • advanced metastatic disease with lymph node involvement and pleural effusion
  • obstructive oesophageal lesion preventing safe oral intake
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