Coronial

77 results for metastatic liver cancer

NSWhospital2026-05-15

Inquest into the death of Robert Bell-Williams

71y · Male·metastatic papillary renal cell carcinoma

Robert Bell-Williams, aged 71, died from metastatic papillary renal cell carcinoma while in lawful custody at Long Bay Hospital on 1 February 2024. Imprison…

oncologypalliative carecabozantinib
TAShospital2016-08-08

Coroner's Finding: Teressa Beswick

45y · Female·Combined effects of widely metastatic (end-stage) carcinoma of the cervix and br…

Teressa Maree Beswick, a 45-year-old woman with end-stage metastatic cervical cancer, died from the combined effects of her cancer and bronchopneumonia accelerated by a crit…

emergency medicinegeneral practicemedicationproceduralmorphine
VIChospital2024-08-08

Finding into death of Mr N

62y · Male·Metastatic small cell lung carcinoma (palliated)

Mr N, a 62-year-old man in custody, died from metastatic small cell lung carcinoma with palliation. He presented with abdominal pain in late May 2022, and was re…

oncologygeneral medicinedelay
QLDhospital2019-06-20

Lawless-Pyne, Timothy Paul

57y · Male·Bleeding oesophageal varices due to cirrhosis and metastatic hepatocellular carc…

…hrough end-of-life management. Death was natural and not preventable. Key learning: prisoners with chronic liver disease require regular surveillance for HCC complications; multidisciplinary approach with timely transit…

gastroenterologyhepatologymorphine
NSW2023-10-04

Inquest into the death of Melville Schrader

76y · Male·small bowel obstruction in the setting of terminal metastatic neuro-endocrine tu…

A 76-year-old Aboriginal man died of small bowel obstruction from metastatic neuro-endocrine tumour after spending nearly two years requesting medical help in prison without receivi…

oncologygastroenterologydiagnosticsystempsyllium
SAhospital2012-03-07

Coroner's Finding: MILLER Allan Kenneth

56y · Male·disseminated nocardiosis involving central nervous system, kidneys, liver and th…

…terial infection) that was not diagnosed during his 12-day RAH admission. Clinicians initially suspected metastatic lung cancer based on presentation and imaging, which was objectively reasonable. Two CT-guided biopsies …

respiratory medicineinfectious diseasesdiagnosticdelayenoxaparin
SAhospital2016-08-25

Coroner's Finding: ISSACSON David Jacob

52y · Male·disseminated carcinoma of the gallbladder

…scharged from ED with a diagnosis of constipation, then re-presented on 3 April and was admitted. Advanced cancer with metastases was diagnosed on 8 April; he died the following day. The coroner found his treatment was a…

general practiceemergency medicinediagnostic
WAhospital2014-10-09

Inquest into the Death of Tamar Jemima Sabbath Stitt

10y · Female·Septic shock and multiple organ failure as complications of advanced metastatic …

Tamar, a 10-year-old girl diagnosed with advanced metastatic hepatoblastoma in August 2009, died from septic shock and multiorgan failure in El Salvador on 12 Novemb…

oncologygeneral practicediagnosticcommunication
QLDhospital2021-02-24

Fullerton, Robert Martin

59y · Male·Disseminated carcinoma on a background of emphysema

Robert Fullerton, a 59-year-old Aboriginal man from Palm Island, died from disseminated carcinoma while remanded in custody at Townsville Correctional Centre. He presented with abdominal pain on 5 December 2018, was diag…

oncologycardiologyprazosin
QLD2020-11-16

Haynes, Barry

58y · Male·Metastatic non-small cell lung carcinoma

Barry Haynes, a 58-year-old Aboriginal man, died of metastatic non-small cell lung carcinoma while on remand in custody. He had stage 4 lung cancer with brain metastas…

oncologypalliative caresystemdelay
WAhospital2024-04-04

Inquest into the Death of Karl Frederick Dominic HOLMES

66y · Male·Complications of metastatic lung adenocarcinoma, with terminal palliative care, …

Karl Frederick Dominic Holmes, a 66-year-old prisoner with metastatic lung adenocarcinoma and hepatocellular carcinoma, died from complications of his terminal cancer while s…

oncologypalliative caresystemdelaymorphine
SAhospital2013-03-08

Coroner's Finding: PAULEY Cynthia Joy

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 H…

palliative careoncologymedicationproceduralmorphine
WAhospital2021-09-14

Inquest into the Death of Jeremy Michael SCOTT

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,…

general surgerycolorectal surgerydiagnosticcommunication
WAhospital2021-09-29

Inquest into the Death of Robert Charles CRAIG

73y · Male·Disseminated malignancy (advanced lung carcinoma and mouth carcinoma) in a man w…

…isseminated malignancy (advanced lung and mouth carcinoma) while in prison custody. He received suboptimal cancer treatment at Fiona Stanley Hospital due to communication failures between oncology teams managing his two …

oncologyradiation oncologydiagnosticcommunicationcetuximab
NSWhospitalPodcast2025-04-16

Inquest into the death of Michael Sanderson

53y · Male·Metastatic pancreatic carcinoma

Michael Sanderson, a 53-year-old Gamilaroi man, died from metastatic pancreatic cancer while in custody. Critical clinical lessons emerge: (1) failure to review pathology re…

general practicepathologydiagnosticcommunicationinsulin degludec/insulin aspart
QLDaged care2024-08-15

Non-inquest findings into the death of Donald Richard Gunthorpe

81y · Male·Carcinoid tumour (metastasis) / metastatic cancer

Donald Richard Gunthorpe, an 81-year-old man with metastatic rectal carcinoma, was appropriately transitioned to end-of-life (palliative) care at a residential aged …

palliative caregeneral practicemedicationdocumentationmorphine
NSW2022-11-24

Inquest into the death of Mervyn Douglas Morgan

59y · Male·complications of viral liver cirrhosis with hepatocellular carcinoma

…ma arising from cirrhosis while in prison custody. Critical failures included: delayed monitoring of known liver cirrhosis (no ultrasound despite May 2017 abnormal findings until July 2018); inadequate communication of …

gastroenterologyhepatologydiagnosticcommunicationsorafenib

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