379 results
54y · Female·Pneumonia and radiation induced brain injury
Vishna Damke, a 54-year-old woman with a long history of brainstem tumour treated with radiotherapy in 1994-1995, died of pneumonia complicated by radiation-induced brain injury. She had experienced progressive neurologi…
45y · Female·Pethidine toxicity
Maree Arthur died from pethidine toxicity at home on 2 February 2008, aged 45. She had complex chronic pain from previous surgeries and motor vehicle injury. Her GP, Dr P., prescribed large quantities of pethidine and ox…
58y · Male·Metastatic colorectal cancer
Edward Tappe, a 58-year-old male prisoner with metastatic colorectal cancer, died in St Augustine's Ward at St Vincent's Hospital in May 2013. He was diagnosed with colorectal cancer in July 2011, underwent hemicolectomy…
68y · Male·Metastatic gastro-oesophageal adenocarcinoma
Bassillios Byron Pantazis, a 68-year-old man in custody at Port Phillip Prison, died from metastatic gastro-oesophageal adenocarcinoma. He had multiple comorbidities including ischaemic heart disease, diabetes, and chron…
59y · Male·Disseminated carcinoma (metastatic adenocarcinoma of unknown primary origin)
Robert Theodore Stewart was a 59-year-old man with metastatic carcinoma of unknown primary origin who died in custody at Port Phillip Prison on 19 December 2013. He had been incarcerated since 2008 and diagnosed with dis…
46y · Female·Acute lymphoblastic leukaemia
Chantelle Adele Cartier, a 46-year-old woman who had been a resident at Thomas Embling Hospital (a forensic mental health facility) for 10 years, died from acute lymphoblastic leukaemia in November 2012. She was diagnose…
75y · Male·Metastatic lung cancer
Patrick Hudd, a 75-year-old prisoner serving a 27-year sentence, died of metastatic lung cancer at Long Bay Correctional Centre. He was diagnosed with advanced lung cancer in 2012, received two courses of chemotherapy at…
45y · Male·metastatic malignant melanoma
Craig Lingwood, a 45-year-old prisoner, died from metastatic melanoma in May 2011. He first complained of a suspicious mole (red, itchy, bleeding) in 2005-2006, but the prison doctor (Dr C.) assessed it as benign in Augu…
45y · Female·Metastatic ovarian carcinoma
A 45-year-old woman with intellectual disability and Lennox-Gastraut syndrome presented to Austin Hospital with a two-week history of abdominal swelling and peripheral oedema. Investigations revealed metastatic ovarian c…
25y · Male·Stab injury to the neck
Adam Matthews, a 25-year-old man with a history of substance abuse and untreated metastatic melanoma, was found deceased in the Goulburn River in November 2000 with multiple stab wounds to the neck. Post-mortem examinati…
62y · Male·Non-small cell lung carcinoma with metastases
Desmond Sims, a 62-year-old prisoner, died from advanced non-small cell lung carcinoma with metastases. He was diagnosed with lung cancer in February 2009 at Princess Alexandra Hospital (PAH) but was lost to follow-up fo…
80y · Male·sepsis due to lobar pneumonia due to metastatic mesothelioma
Kenneth Draney, an 80-year-old prisoner, died from sepsis due to lobar pneumonia secondary to metastatic mesothelioma. He was diagnosed with advanced, incurable mesothelioma in May 2012 with poor prognosis and life expec…
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…
62y · Male·extensive small cell lung cancer
Trevor John Smith, aged 62, died from extensive small cell lung cancer at Royal Adelaide Hospital on 18 March 2011. He was under Mental Health Act detention when he developed delusions and delirium during his final illne…
56y · Male·respiratory failure due to adenocarcinoma of the lung and chronic obstructive lu…
Neville Ronald Baker, aged 56, died from respiratory failure due to adenocarcinoma of the lung and chronic obstructive lung disease. He was a life prisoner serving a sentence for murder. He had been a heavy smoker throug…
38y · Male·metastatic lung carcinoma
Thomas Brigham, a 38-year-old prison inmate, died from metastatic lung carcinoma after a delayed diagnosis. Over three months, he presented repeatedly with back pain, weight loss, poor appetite, and a persistent cough. D…
46y · Male·metastatic malignant melanoma
A 46-year-old man with metastatic malignant melanoma died in custody at a hospice. He was extradited from New South Wales to South Australia in April 2009 while undergoing cancer treatment. There was an 8-week delay befo…
72y · Female·Intrathecal toxicity of bupivacaine and morphine
A 72-year-old woman with terminal metastatic parotid cancer died from intrathecal toxicity of bupivacaine and morphine. She was admitted to Ashford Hospital for pain management of pathological pelvic fractures. An intrat…
58y · Male·metastatic multiple myeloma
Harry Richard Nylander, aged 58, died in prison custody from metastatic multiple myeloma on 25 January 2008. An inquest was mandatory due to his custodial status. Expert medical review by a senior medical oncologist conc…
58y · Male·metastatic adenocarcinomatosis with unknown primary source
A 58-year-old prisoner died of metastatic adenocarcinoma with unknown primary. In September 2006, significantly abnormal liver enzymes (GGT 2093) and hyperglycemia were detected. A December 2006 ultrasound identified an …
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