380 results
68y · Male·PLASTIC BAG AND NITROGEN GAS ASPHYXIA
68-year-old man with terminal, inoperable pancreatic cancer died by asphyxiation using a plastic bag and nitrogen gas. He sought access to Voluntary Assisted Dying (VAD) through his GP, Dr C., who assessed him as mentall…
84y · Male·staphylococcus aureus sepsis complicating metastatic malignancy
Douglas Anderson, aged 84, died of staphylococcus aureus sepsis complicating metastatic malignancy (gastro-oesophageal origin) while in custody at Westmead Hospital, nine days after arrest. The coroner found his death wa…
27y · Male·Metastatic sarcoma
Brendon Lahrs, a 27-year-old prisoner, died from metastatic Ewing's sarcoma (CIC-DUX4 translocation type) in March 2017. He presented with a persistent cough in April 2016 and was initially managed with Ventolin for susp…
52y · Male·Metastatic neuroendocrine carcinoma
Darren Rodney Taylor, a 52-year-old Indigenous man, died in custody from metastatic neuroendocrine carcinoma diagnosed in March 2017. He presented with abdominal pain initially attributed to constipation, then found to h…
73y · Male·Lung cancer (squamous cell carcinoma)
Robert Skilton, aged 73, died of advanced squamous cell carcinoma of the lung while in prison custody. He had a 59-year smoking history and consistently declined medical care throughout 43 years of incarceration, with up…
61y · Male·Metastatic squamous cell carcinoma
Ivan Allwood, a 61-year-old man with metastatic squamous cell carcinoma (tongue base cancer with spread to lung and heart), died of natural causes while in custody at Long Bay Hospital. He had been diagnosed with throat …
63y · Male·Complications of mesothelioma
Ross Bennett, a 63-year-old man with mesothelioma and intellectual disability living in a DHHS residential care service, was found deceased on the bedroom floor on 15 August 2019. He had been noted snoring in bed at 10pm…
53y · Male·Complications of metastatic rectal cancer
Thomas Millar, a 53-year-old man in custody, died from complications of metastatic rectal cancer with liver failure. He had been diagnosed with advanced cancer in 2015 with a poor prognosis and underwent chemotherapy whi…
51y · Male·Sepsis due to or as a consequence of right lower limb necrotising fasciitis due …
A 51-year-old man with metastatic renal cell carcinoma died from sepsis following necrotising fasciitis of the lower limb, which developed after a pseudo-aneurysm complication from coronary angiography. Key clinical less…
48y · Male·Complications of metastatic melanoma
A 48-year-old man in custody at Port Phillip Prison died from complications of metastatic melanoma at St Vincent's Hospital. He had been diagnosed with melanoma in 2016 and developed metastatic disease in 2019. After pre…
68y · Male·Metastatic hepatocellular carcinoma
Graham Lawson, a 68-year-old male inmate at Long Bay Correctional Centre, died from metastatic hepatocellular carcinoma on 19 September 2018. He had presented with weight loss and weakness in September 2017, and diagnost…
57y · Male·Bleeding oesophageal varices due to cirrhosis and metastatic hepatocellular carc…
A 57-year-old prisoner with hepatitis C, cirrhosis, and advanced hepatocellular carcinoma died from bleeding oesophageal varices. He was appropriately managed with aggressive treatment including TACE and variceal ligatio…
64y · Male·Multi organ failure due to metastatic adenocarcinoma of the lung
A 64-year-old man died of multi-organ failure secondary to metastatic adenocarcinoma of the lung while serving a sentence on home detention. He had a significant cardiac history including bypass surgery and stent placeme…
56y · Male·disseminated malignancy – known non-small cell carcinoma of lung
Colin George Graham, a 56-year-old Aboriginal man with severe COPD and lung cancer, died of disseminated non-small cell carcinoma while in prison custody receiving palliative care. The coroner found his medical care was …
Male·metastatic lung cancer
Anthony Wray died from metastatic lung cancer while in custody at Long Bay Gaol in February 2018. He had been serving a 12-year sentence. Lung cancer with metastases to liver, spleen and brain was diagnosed in October 20…
57y · Male·Bronchopneumonia complicating metastatic and locally advanced primary adenocarci…
A 57-year-old male prisoner died from bronchopneumonia complicating metastatic lung adenocarcinoma. He was diagnosed with stage IV lung cancer in February 2016 while incarcerated and opted for palliative care, declining …
64y · Male·respiratory failure and sepsis on a background of end-stage disseminated small c…
A 64-year-old prisoner with end-stage disseminated small cell lung cancer died from respiratory failure and sepsis at Royal Adelaide Hospital. He had presented with collapse, fever, and hypotension in January 2016. Inves…
50y · Male·carcinomatosis due to metastatic, poorly differentiated renal cell carcinoma unc…
Michael Sfyris, a 50-year-old prisoner, died of metastatic renal cell carcinoma in April 2016. A CT scan performed in September 2015 revealed an adrenal lesion but the radiology report was misfiled and not reviewed for 2…
54y · Female·malignant melanoma with brain metastases
A 54-year-old woman with metastatic melanoma died from brain metastases while detained under a Mental Health Act order at the Royal Adelaide Hospital. She had undergone surgery and radiotherapy for melanoma that had spre…
63y · Male·metastatic non-small cell lung carcinoma with chronic obstructive lung disease
Mr Curtin, a 63-year-old with metastatic non-small cell lung carcinoma and severe COPD, was admitted to Repatriation General Hospital on 14 August 2015 with dyspnea and confusion. His condition deteriorated with delirium…
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