Coronial
VIChospital

Finding into death of Con Koumis

Deceased

Con Koumis

Demographics

43y, male

Coroner

Coroner Dimitra Dubrow

Date of death

2022-02-05

Finding date

2025-08-19

Cause of death

complications of decompensated liver failure due to occult sepsis and retroperitoneal haemorrhage; cirrhosis secondary to blood transfusion; beta-thalassaemia major

AI-generated summary

Con Koumis, a 43-year-old man with beta-thalassaemia major requiring regular blood transfusions, died from decompensated liver failure complicated by occult sepsis and retroperitoneal haemorrhage. He was remanded in custody at the time. Con had refused earlier transfusions to avoid COVID-19 quarantine protocols upon return to prison, though he understood the risks. He was admitted to hospital on 1 February 2022 with chest pain, dyspnoea, and dizziness, and deteriorated despite treatment. A MET call was made and he was deemed unsuitable for ICU based on his life-limiting conditions and goals of care. The coroner found custodial health management was appropriate and did not cause or contribute to the death. The outcome would not have differed had Con accepted earlier transfusions.

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

Specialties

haematologyhepatologygeneral medicineintensive care

Clinical conditions

beta-thalassaemia majorliver cirrhosisdecompensated liver failuresepsisretroperitoneal haemorrhagecoagulopathyanaemiatype 2 diabetes mellitusavascular necrosisosteoporosisosteoarthritis

Procedures

blood transfusion

Contributing factors

  • beta-thalassaemia major with chronic transfusion requirements
  • liver cirrhosis from transfusion-related iron overload
  • retroperitoneal haemorrhage with deranged coagulation
  • occult sepsis
  • refused transfusions on four occasions due to COVID-19 quarantine requirements
Full text

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