Coronial
WAhospital

Inquest into the Death of Wayne Frederick LEESE

Deceased

Wayne Frederick LEESE

Demographics

54y, male

Coroner

Coroner Urquhart

Date of death

2018-05-20

Finding date

2020-10-08

Cause of death

Complications including hepatic encephalopathy, pneumonia and multi-organ failure, of hepatitis C and hepatocellular carcinoma

AI-generated summary

Wayne Frederick Leese, a 54-year-old prisoner, died from complications of hepatitis C and hepatocellular carcinoma including hepatic encephalopathy, pneumonia and multi-organ failure. He collapsed at Acacia Prison on 4 May 2018 with seizures and was rapidly transferred to St John of God Hospital Midland where he was admitted to ICU. He had received comprehensive medical care throughout his 16-year imprisonment including specialist hepatology referrals, interferon therapy, microwave ablation of liver tumours, and regular monitoring. The coroner found the standard of supervision, treatment and care was reasonable and comparable to or better than community care. A minor delay in surveillance MRI scheduling was outside departmental control and unlikely to have changed the outcome. Rapid decompensation of cirrhotic liver disease is a recognised phenomenon and death was a likely outcome despite appropriate hospitalisation and treatment.

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

Specialties

hepatologyemergency medicineintensive carepsychiatrysurgerypalliative carecardiology

Drugs involved

methadoneinterferonribavirinsofosbuvirdaclatasvirantipsychotic medicationsantidepressant medicationsmorphineantibioticsdiureticssodium chloride

Clinical conditions

hepatitis Chepatocellular carcinomaliver cirrhosisportal hypertensionhepatic encephalopathyascitespneumoniasepsisileuscerebral oedemahyponatraemiamulti-organ failurethrombosisdepressionanti-social personality disorder

Procedures

intubationnasogastric tube insertionhepatic angiographymicrowave ablationCT scanMRI scanultrasoundtotal parenteral nutrition

Contributing factors

  • Chronic hepatitis C with failed initial interferon therapy
  • Hepatocellular carcinoma
  • Liver cirrhosis with portal hypertension
  • Rapid decompensation of cirrhotic liver disease
  • Encephalopathy secondary to decompensated liver disease
  • Sepsis
  • Chest infections (bilateral lower lobe)
  • Ileus (intestinal obstruction)
  • Thrombosis of superior mesenteric and portal veins
  • Multi-organ failure
Full text

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