46y · Male·metastatic malignant melanoma
…ody 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 before specialist oncology review in South Australia, caused partly b…
47y · Male·pneumonia
Wayne Eadie, a 47-year-old man with intellectual disability living in residential care, died from community-acquired pneumonia complicated by acute-on-chronic renal failure. He presented unwell on 3 February 2012 and was…
69y · Male·asphyxia by hanging
A 69-year-old man with depression, prostate cancer, and recent suicide attempt was admitted to MAPU (general medical ward) after intensive care treatment. He…
94y · Female·Complications of metastatic lobular carcinoma of the breast in a woman with deme…
A 94-year-old woman with advanced dementia and metastatic breast cancer died from complications of her malignancy. She presented repeatedly with vomiting due to duodenal obstruct…
71y · Female·complications of metastatic endometrial carcinoma, treated palliatively
…treras Keeley, a 71-year-old woman with postmenopausal bleeding, was investigated for possible endometrial cancer. Dr K. performed a hysteroscopy with dilation and curettage (HDC) on 29 November 2019, observing a concern…
56y · Male·complications of metastatic colorectal carcinoma
…or refused hospital transport when contact was made, and his prognosis was poor given advanced undiagnosed cancer. However, recommendations were made to improve emergency services processes: Triple Zero Victoria should s…
52y · Male·Intestinal failure/sepsis arising from venous ischemia as a result of superior m…
…llowing an accidental division of the superior mesenteric vein (SMV) during laparoscopic surgery for colon cancer at Kareena Private Hospital on 9 October 2013. Despite emergency repair with an inferior mesenteric vein g…
69y · Male·amitriptyline and alcohol toxicity with ischaemic heart disease
A 69-year-old man with longstanding anxiety, depression, heavy alcohol use, and multiple prior intentional overdoses of amitriptyline died from combined amitriptyline and alcohol toxicity with underlying ischaemic heart …
73y · Male·Sepsis (gram-negative septic shock) secondary to complications of selective inte…
…om gram-negative septic shock following selective internal radiation therapy (SIRT) for metastatic gastric cancer. He had previously undergone a Whipple procedure in 2014, which creates a direct communication between bow…
74y · Male·Complications of burns sustained in a fire
Nigel Willoughby, 74, died from complications of burns sustained in a house fire on 2 September 2020. The fire was caused by a carelessly discarded cigarette igniting an armchair in the lounge room while he was smoking a…
63y · Male·metastatic rectal carcinoma
Jeremy Scott, a 63-year-old prisoner, died from metastatic rectal carcinoma on 3 July 2017. From 2015 onwards, he reported rectal and anal symptoms including pain, bleeding, and palpable masses, which were repeatedly att…
70y · Male·haemoperitoneum secondary to ruptured spleen following colonoscopy
Alan Edward Stewart, aged 70, died from haemoperitoneum due to splenic rupture following routine colonoscopy at Royal Melbourne Hospital on 15 August 2018. The splenic injury was caused by mechanical trauma from the colo…
85y · Female·Coronary artery disease and heat exposure
…-old woman with coronary artery disease was admitted to a low-care supported residential service following bowel surgery. She was frail, hard of hearing, wore spectacles, and showed signs of confusion and distress about…
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