Coronial

133 results for hepatic failure

NSWhospital2017-08-21

Inquest into the death of Donald McKinnon

82y · Male·complications of metastatic pancreatic cancer with end stage liver failure

An 82-year-old man died of end-stage liver failure due to metastatic pancreatic cancer while serving a custodial sentence. He was comprehensively assessed o…

oncologygastroenterology
VIChomePodcast2025-02-11

Finding into death of Kathleen Dawn Arnold

30y · Female·Acute ethanol toxicity on a background of chronic alcoholism

Kathleen Arnold, aged 30, died from acute ethanol toxicity on a background of chronic alcoholism. She had a 20-year history of alcohol dependence, complex trauma from a childhood near-drowning incident, eating disorders,…

addiction medicinepsychiatrysystemalcohol
NSWhospital2019-09-04

Inquest into the death of Thomas MILLAR

53y · Male·Complications of metastatic rectal cancer

…omas 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 whil…

oncologypalliative care
VIChome2019

Finding into death of Timothy Shane Norton

46y · Male·Complications of stage 4 colorectal cancer in a man with multiple medical comorb…

Timothy Norton, a 46-year-old man with severe intellectual disability, cerebral palsy, epilepsy and chronic constipation, died from complications of stage 4 colorectal cancer. Cancer was discovered on colonoscopy in June…

colorectal surgeryoncology
VIChospital2023-08-14

Finding into death of Md Fakrul Alam Sozon

33y · Male·Haemoperitoneum secondary to lacerated spleen as a result of peritoneal ascitic …

…ocedure unsupervised without formal ultrasound training, mistaking the spleen for ascitic fluid. Critical failures included: absence of senior supervision despite protocol suggesting registrar oversight, lack of formal …

gastroenterologyintensive careproceduraldiagnostic
NT2025-08-29

Inquest into the death of Raylene Dick, David Hardy and Karen Bading

46y · Female·Hepatic encephalopathy due to decompensated Child-Pugh C cirrhosis and meningiti…

…y in Howard Springs. Ms Dick died from rapidly progressive melioidosis. David Hardy died from respiratory failure related to COPD. Karen Bading, a 46-year-old Aboriginal woman with serious chronic conditions (cirrhosis,…

infectious diseasesintensive carediagnosticsystem
WAhospital2020-03-27

Inquest into the Death of Alexander Robert EATTS

73y · Male·Complications, including multi-organ failure and pneumonia, of chronic obstructi…

…atts, a 73-year-old prisoner with severe chronic obstructive pulmonary disease (COPD), congestive cardiac failure, and multiple comorbidities, died from complications of COPD including multi-organ failure and pneumonia,…

respiratory medicinecardiology
VIC2025-12-05

Finding into death of Jennifer Lee Hombsch

68y · Female·Multiple injuries sustained in a motor vehicle incident (pedestrian)

…cise proper caution when turning left at the intersection, resulting in fatal multiple injuries including hepatic rupture, haemopneumothoraces, and subarachnoid haemorrhage. The driver was convicted of careless driving …

emergency medicineparamedicineketamine
QLDhospital2014-12-17

Courtney, Victor

44y · Male·End stage non-small cell lung carcinoma

Victor Courtney, aged 44, died from end-stage non-small cell lung carcinoma with hepatic metastases while incarcerated at Wolston Correctional Centre. He was diagnosed with lung cancer in Novemb…

oncologyrespiratory medicine
QLD2011-11-03

Currie, Sheldon Douglas

18y · Male·Hypoglycaemic hypoxic-ischaemic encephalopathy, due to massive liver necrosis, d…

An 18-year-old remand prisoner died from acute liver failure secondary to Hepatitis B and C infection. He presented with fever and malaise on 15 February but was asse…

general practicegastroenterologydiagnosticcommunicationflucloxacillin
VIChome2003-04-07

DISKIN Eliana

5y · Female·disseminated candidiasis secondary to protein-energy malnutrition

… but parents delayed seeking medical attention until December 16, when she presented in septic shock with hepatic dysfunction and renal failure. Transfer to Royal Children's Hospital for intensive care with mechanical v…

emergency medicinegeneral practicedelay
VIChome2024-04-23

Finding into death of Robert Norman Spencer

59y · Male·ischaemic heart disease in the setting of chronic ethanol use

Robert Spencer, 59, called 000 at 4:27 am reporting weakness and inability to mobilise following a fall. He was triaged as Code 3 (non-urgent) and underwent secondary triage call-back attempts without success. An ambulan…

emergency medicineparamedicinesystemdelay
VIChospital2022

Finding into death of Mr E

67y · Male·Fulminant liver failure

…th unclear timing of GP's review. The patient deteriorated rapidly and presented two days later in severe hepatic failure. Despite aggressive supportive care at hospital, he died of fulminant liver failure. The coroner …

general practiceemergency medicinecommunicationdelayibuprofen
NThospital2009-11-24

Inquest into the death of Maureen Caroline Thomson

58y · Female·acute peritonitis, which led to the development of acute septicaemia following a…

…aggressive management including multiple interventions and ICU support, the patient developed acute liver failure secondary to ischemic hepatitis. The coroner found no evidence of surgical error, inappropriate care, or …

general surgerycolorectal surgeryenoxaparin
TAScommunity2016-06-20

Coroner's Finding: Gordon, Mark Alexander

51y · Male·Pericardial tamponade complicating Type I aortic dissection in the setting of lo…

Mark Gordon, 51, presented to Royal Hobart Hospital Emergency Department on 20 March 2015 with sudden onset chest pain. Initial assessment suspected acute coronary syndrome with elevated troponin. Over 36 hours he experi…

emergency medicinegeneral medicinediagnosticdelay
WA2026-03-09

Inquest into the Death of Russell Graham PENNY

56y · Male·complications of viral hepatitis related advanced-chronic liver disease

…ancer while incarcerated. Despite appropriate medical management by prison and hospital teams, two system failures occurred: Russell missed a 5 March 2025 specialist appointment due to a prison transfer that disregarded…

correctional healthgeneral medicinesystemcommunication
WAhospital2022-01-17

Inquest into the Death of Peter Johnnie YOUNG

Male·Complications of alcohol and hepatitis C-related liver disease

…al man with advanced alcoholic cirrhosis and recently acquired hepatitis C infection, died of multi-organ failure while on remand in custody. He received appropriate standard medical care in prison for his chronic liver…

hepatologygastroenterologysystemdelayquetiapine
NThospital2022-01-25

Inquest into the death of Josef Lear

80y · Male·metastatic oesophageal cancer

…which was appropriately investigated with gastroscopy, biopsy, and imaging confirming stage 4 cancer with hepatic metastases by October 2020. Medical care was found to be excellent, exceeding community standards. Howeve…

oncologygastroenterologycommunicationsystemibuprofen
TAShospital2017-02-22

Coroner's Finding: Free, Maxwell John

64y · Male·Multiple organ failure due to paracetamol toxicity

A 64-year-old man died from multiple organ failure due to chronic paracetamol toxicity after taking regular paracetamol 500mg four times daily for over 12 y…

general practicegeriatric medicinediagnosticparacetamol
VIChospital2011-10-20

Finding into death of Andrew Westley

56y · Male·Cardiogenic shock, end stage ischemia due to chemo related cardiomyopathy, fulmi…

…, IABP, and biventricular assist devices but developed VRE sepsis, aspergillus infection, and multi-organ failure, dying 30 days post-transplant. Expert review found the decision to proceed was reasonable but high-risk …

cardiothoracic surgerytransplant medicinedelayvancomycin

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