379 results
49y · Male·complications of non-small cell carcinoma of the lung
Keith Howlett, 49 years old, died from complications of non-small cell carcinoma of the lung while in custody at Junee Correctional Centre after 5 weeks of incarceration. He had complex medical needs including HIV, perip…
94y · Female·Sepsis complicating management of vulval carcinoma in an elderly woman with seve…
A 94-year-old woman with vulval carcinoma underwent suprapubic catheter insertion at a private hospital on 14 May 2014. She appeared well post-procedure with normal observations. The following day, she was transferred by…
80y · Male·complications of necrotising pancreatitis secondary to pancreatic biopsy (EUS)
John Twycross, an 80-year-old man with a history of hypertension, asthma, glaucoma and prior cholecystectomy, presented with acute pancreatitis in April 2011 after imaging revealed a suspected ampullary carcinoma. Follow…
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 …
Unknown·Electrocution
This case involves the deaths of a married couple by electrocution. JB, aged approximately 75, had terminal lung cancer (bronchogenic carcinoma with metastatic disease and pleural effusion) with a prognosis of months to …
4y · Male·Complications of T-cell lymphoma
Nghi Pham was a 4-year-old admitted to Sunshine Hospital with facial swelling, stridor, and upper respiratory symptoms. He was examined by emergency and ENT teams, diagnosed with adenoiditis and sinusitis, and discharged…
69y · Female·Complications of a probable bowel malignancy
A 69-year-old woman with schizophrenia, intellectual disability, and multiple comorbidities died from complications of probable bowel malignancy. In October 2014, regional lymphadenopathy and bowel thickening were identi…
52y · Male·disseminated carcinoma of the gallbladder
David Issacson, 52 years old, died from disseminated gallbladder carcinoma at Royal Adelaide Hospital while detained under the Mental Health Act. He presented on 2 April with abdominal pain and was initially discharged f…
72y · Female·probable sepsis complicating chemotherapy for non-Hodgkin's lymphoma
A 72-year-old woman died of sepsis complicating chemotherapy for non-Hodgkin's lymphoma. She presented to ED with severe abdominal pain, elevated lactate (6.1 mmol/L), and signs of shock. The surgical team failed to reco…
43y · Male·Pneumonia and severe epilepsy, with renal cell cancer as a contributing factor
Jason Paul was a 43-year-old man with tuberous sclerosis, cerebral palsy, spastic quadriplegia and severe epilepsy who resided in a Department of Human Services facility. He had progressive renal failure requiring multip…
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…
75y · Male·Burns
75-year-old John Drane, a resident of Masonic Care Queensland, died from extensive burns on 9 January 2014. The coroner concluded he intentionally set himself alight using a cigarette lighter shortly after receiving his …
76y · Female·Aspiration pneumonia complicating catatonia and depression in the setting of met…
Patricia Russell, a 76-year-old woman with metastatic bladder cancer, catatonia, and severe depression, died from aspiration pneumonia at St Vincent's Hospital. She was a compulsory patient under the Mental Health Act af…
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…
60y · Female·Complications of metastatic melanoma in the setting of neck of femur fracture fo…
Susan Ruth Lovell, a 60-year-old woman, died from complications of metastatic melanoma in the setting of a neck of femur fracture sustained during a fall. A skin lesion on her left calf, noted in January 2010, was clinic…
55y · Male·Renal cell carcinoma (brain metastasis)
A 55-year-old man on remand was found confused and disoriented upon reception to correctional custody on 16 September 2014. He was appropriately transferred to hospital where MRI imaging revealed a large right frontal br…
48y · Male·Anaplastic astrocytoma
Robert Przychodski, a 48-year-old man with longstanding psychiatric illness, intellectual disability, epilepsy and a progressive anaplastic astrocytoma, died in the Werribee Mercy Palliative Care Unit from his brain tumo…
61y · Male·lung carcinoma
Kelvin Gardoll, a 61-year-old man, died in custody from lung carcinoma on 4 August 2014 at Long Bay Correctional Complex Hospital. He had presented with a skin lesion that was excised in 2010 (histologically confirmed as…
85y · Female·complications of oesophageal cancer
Dorothy Williams was an 85-year-old woman with intellectual impairment and dementia who died from complications of oesophageal cancer. She was diagnosed with inoperable oesophageal cancer in 2012 and managed palliatively…
66y · Male·carcinomatosis complicated by recurrent sepsis and multisystem failure in a man …
A 66-year-old man with renal cell carcinoma died in hospital from carcinomatosis with sepsis and multisystem failure. Critical clinical lesson: haematuria in 2005 was not adequately investigated with imaging despite recu…
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