Coronial
WAhospital

Inquest into the Death of Tony RUICH

Deceased

Tony RUICH

Demographics

55y, male

Coroner

Coroner Urquhart

Date of death

2024-01-10

Finding date

2025-05-08

Cause of death

decompensated liver failure in a man with metastatic hepatocellular carcinoma, with terminal palliative care

AI-generated summary

Tony Ruich, a 55-year-old sentenced prisoner, died from decompensated liver failure due to metastatic hepatocellular carcinoma with terminal palliative care. He had pre-existing cirrhosis diagnosed in 2012, likely from hepatitis C and chronic alcohol dependence. In October 2023, abdominal pain investigations revealed advanced hepatocellular carcinoma with portal vein thrombosis, deemed unsuitable for active treatment. Transferred to Casuarina Prison infirmary for palliative care, he experienced COVID-19 infection and progressive deterioration. On 9 January 2024, he was transferred to Fiona Stanley Hospital where palliative care confirmed imminent death. The coroner found supervision, treatment and care at both facilities was appropriate, though noted the patient frequently declined medical interventions. No preventable failures were identified in his medical management.

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

Specialties

hepatologypalliative caregeneral medicineforensic medicinecorrectional health

Drugs involved

heroinmethamphetaminecannabisLSDcelecoxibpantoprazoleanti-viral medication for covid-19

Clinical conditions

hepatocellular carcinomaliver cirrhosisportal vein thrombosisdecompensated liver failureascitesportal hypertensionsplenomegalyhepatitis Ctype 2 diabetespulmonary embolismCOVID-19 infectioncoronary artery atherosclerosiscervical spinal spondylosisgastro-oesophageal reflux disease

Procedures

CT scanningascites drainage procedure (scheduled)

Contributing factors

  • pre-existing cirrhosis of the liver (diagnosed 2012)
  • chronic hepatitis C
  • metastatic hepatocellular carcinoma
  • portal vein thrombosis
  • long-term alcohol dependency
  • long-term intravenous heroin use causing vascular damage
  • COVID-19 infection during terminal phase
  • ascites requiring drainage
Full text

Source and disclaimer

This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.

Content may be incomplete, reformatted, or summarised. Some material may have been redacted or restricted by court order or privacy requirements. Always refer to the original court publication for the authoritative record.

Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries and tagging are for educational purposes only, may contain inaccuracies, and must not be treated as legal documents. We welcome feedback for correction — report an inaccuracy here.