16 results
66y · Male·metastatic adenocarcinoma (palliated) from an unidentified primary tumour
Bradley John Murdoch, a 66-year-old prisoner serving a life sentence for murder, died in the palliative care unit of Alice Springs Hospital from metastatic adenocarcinoma on 15 July 2025. He had presented to the correcti…
66y · Male·infectious complications of plasmablastic myeloma
Mati Tamwoy, a 66-year-old Aboriginal man, died in ICU from infectious complications of plasmablastic myeloma after 661 days on remand. He received excellent oncological care including chemotherapy and radiotherapy. Howe…
80y · Male·metastatic oesophageal cancer
Josef Lear, an 80-year-old prisoner, died of metastatic oesophageal cancer at the Royal Darwin Hospital Hospice on 7 March 2021. He presented with progressive dysphagia, cough, and weight loss in mid-2020, which was appr…
56y · Male·aspiration pneumonitis secondary to airways obstruction from squamous cell carci…
Edgar Forrester, a 56-year-old Aboriginal man, died of aspiration pneumonitis secondary to oesophageal squamous cell carcinoma with metastases while in custody. He presented with progressive dysphagia from September 2019…
58y · Male·carcinomatosis from unknown primary
David Kevin Loader, a 58-year-old life prisoner, died from metastatic cancer of unknown primary in January 2020. He presented with multiple episodes of back, abdominal, shoulder and rib pain between July and November 201…
41y · Male·respiratory arrest secondary to advanced metastatic breast cancer
Ray Jabaltjari Gibson was a 41-year-old Aboriginal man with advanced metastatic breast cancer who died of respiratory arrest while in prison custody. He had been diagnosed with breast cancer in 2013 while imprisoned and …
65y · Male·Congestive Cardiac Failure secondary to Ischaemic Heart Disease due to Non-Small…
Kevin John Steel, a 65-year-old Aboriginal man with advanced non-small cell lung cancer, ischaemic heart disease, atrial fibrillation, and multiple comorbidities, died in Alice Springs Hospital from congestive cardiac fa…
56y · Male·Acute bronchopneumonia secondary to locally advanced, poorly differentiated squa…
A 56-year-old Aboriginal man died in custody from bronchopneumonia secondary to metastatic hypopharyngeal squamous cell carcinoma. He first presented with sore throat in February 2014 and was referred to ENT clinic in Ap…
63y · Male·cancer in the left lung metastatic to the heart, right lung, liver, pancreas and…
Victor Albert Campbell, a 63-year-old man remanded in custody for serious criminal offences, was incarcerated at Alice Springs Correctional Centre on 10 April 2013. He was assessed by medical staff and seen by a doctor p…
28y · Male·Bronchopneumonia caused by metastatic lung cancer (adenocarcinoma)
Damien Hughes, a 28-year-old Aboriginal man serving a prison sentence, died from bronchopneumonia caused by metastatic lung adenocarcinoma. He presented with a two-week history of chest swelling in April 2012 and was pro…
52y · Male·Left upper lobe collapse/bronchopneumonia and haemorrhagic pleural effusion seco…
Yong Lam Chai, a Malaysian national serving a life sentence for drug importation, died from advanced metastatic lung cancer with pleural effusion at Royal Darwin Hospital in July 2011. The coroner found that care provide…
17y · Male·Multi-organ failure with terminal fungal sepsis (Aspergillus) on a background of…
Ben Witham, a 17-year-old with acute lymphoblastic leukaemia, died from multi-organ failure with terminal fungal sepsis. The critical issue identified was a substantial delay in investigating acute severe abdominal pain …
8y · Female·Chronic myocarditis subsequent to chemotherapy for sialoblastoma
An 8-year-old Aboriginal girl died from chronic myocarditis following chemotherapy for sialoblastoma (salivary gland cancer). She had completed chemotherapy and surgery with good response when complications arose. During…
51y · Male·pneumonia secondary to hepatocellular carcinoma and chronic liver disease
A 51-year-old Aboriginal man died from pneumonia secondary to hepatocellular carcinoma and chronic liver disease while in custody. He had presented to hospital on 26 May 2010 with abdominal pain and imaging showed a larg…
70y · Female·fungal pneumonia as a complication of breast cancer and its treatment
Dolly Granites, a 70-year-old Aboriginal woman, died from fungal pneumonia complicating breast cancer in September 2004. A significant 17-month delay occurred between initial detection of a breast lump in October 2002 an…
57y · Male·carcinoma of the right lung
Alfred Firth Thorpe, a 57-year-old man imprisoned for manslaughter, died of carcinoma of the right lung whilst in custody. He had declined radiotherapy for throat cancer in 1999, which may have prevented recurrence. Lung…
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