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SA2022-03-30

Coroner's Finding: Papadopoulos, George

63y · Male·disseminated carcinoma (pancreatic cancer with metastases to liver and lung)

George Papadopoulos, aged 63, died in prison custody from disseminated pancreatic carcinoma with metastases. He had refused imaging investigations due to unfounded concerns about radiation, despite recommendations for CT…

general practicecorrectional health
SAcommunity2022-03-29

Coroner's Finding: Cooper, Kunmanara

36y · Male·drowning

A 36-year-old Indigenous man drowned in the sea off Ceduna Beach while evading police arrest. He had been in breach of bail conditions and was wanted for alleged assaults. When police attempted to arrest him on the fores…

cannabinoids
SAhospital2022-03-29

Coroner's Finding: Davies, Allen William Harold

85y · Male·aspiration pneumonia due to dysphagia in a man with multiple spinal fractures an…

Allen William Harold Davies, 85, died of aspiration pneumonia due to dysphagia in the setting of multiple spinal fractures and dementia. He had collapsed at a hotel on 12 June 2019, was admitted to Lyell McEwin Hospital,…

neurosurgerygeriatric medicinehaloperidol
SAhospital2022-03-29

Coroner's Finding: Duthie, Norman Alec

96y · Male·hospital acquired pneumonia on a background of advanced Alzheimer's dementia

Norman Alec Duthie, a 96-year-old man with advanced Alzheimer's dementia, died of hospital-acquired pneumonia following admission to Noarlunga Hospital. He was placed on a Mental Health Act Inpatient Treatment Order due …

geriatric medicinepsychiatry
SAhospital2022-03-29

Coroner's Finding: Foster, Clive Anthony

76y · Male·end-stage renal failure

A 76-year-old man died of end-stage renal failure while imprisoned. He had pre-existing hypertension, diabetes, and stage 3 chronic kidney disease. During his final year in custody, he experienced acute kidney injury sup…

general medicinenephrology
SAcommunity2022-03-01

Coroner's Finding: Della Torre, Mario

54y · Male·undetermined

Mario Della Torre, a 54-year-old BHP worker, disappeared from Whyalla in October 1976. Skeletal remains discovered at False Bay in 1977 were initially unconfirmed but have now been conclusively identified as his through …

tofranil
SA2022-02-09

Coroner's Finding: Curran, Michael Anthony

62y · Male·metastatic hepatocellular carcinoma

Michael Anthony Curran, a 62-year-old prisoner, died from metastatic hepatocellular carcinoma in 2015. He had been diagnosed with hepatitis C in 2005, which is a significant risk factor for liver cancer. A liver biopsy i…

hepatologygastroenterologydiagnosticsystemribavirin
SA2022-02-09

Coroner's Finding: Ohata, Katsushi

51y · Male·undetermined (death by falling and/or drowning following bicycle ride over cliff…

Katsushi Ohata, a 51-year-old Japanese national, died between 11-21 March 2015 after riding his bicycle over a cliff on the Nullarbor Plain, South Australia. The coroner found he deliberately rode over the cliff with int…

SA2021-12-15

Coroner's Finding: Lanzafame, Anthony

54y · Male·compression of the neck due to hanging

Anthony Lanzafame, a 54-year-old remand prisoner, died by hanging in his single cell at Adelaide Remand Centre on 24 May 2016. He had been on remand for 17 months facing murder charges and was undergoing trial when he di…

psychiatrycorrectional healthsystemolanzapine
SAhospital2021-11-25

Coroner's Finding: Ansink, Matthew Wade

32y · Male·Subarachnoid haemorrhage due to rupture of basilar artery aneurysm

Matthew Wade Ansink, 32, died at Glenside Hospital on 28 June 2019 from subarachnoid haemorrhage due to ruptured basilar artery aneurysm. He was found collapsed in the shower while an inpatient on an Inpatient Treatment …

psychiatryemergency medicinealprazolam
SAhospital2021-11-25

Coroner's Finding: Cannell, Peter Tasman

48y · Male·Multi-organ failure from acute gastrointestinal haemorrhage associated with oeso…

Peter Tasman Cannell, aged 48, died in Flinders Medical Centre from multi-organ failure due to acute gastrointestinal haemorrhage from oesophageal varices on a background of liver cirrhosis. He had a medical history of h…

gastroenterologyhepatology
SA2021-11-25

Coroner's Finding: Clark, Murray Eric

81y · Male·valvular heart disease with cardiac amyloidosis

Murray Eric Clark, 81-year-old prisoner with extensive cardiac history including aortic stenosis, sick sinus syndrome with pacemaker, and recent TAVI procedure, collapsed and died in prison infirmary on 20 September 2019…

cardiologyemergency medicineanticoagulants
SA2021-11-25

Coroner's Finding: Hancott, Duncan John

56y · Male·urosepsis

Duncan John Hancott, aged 56, died in Mount Gambier Prison from urosepsis secondary to urinary tract infection caused by E. coli. He had significant comorbidities including hepatic cirrhosis, portal hypertension, and his…

infectious diseaseshepatologydiagnosticamitriptyline
SAaged care2021-11-25

Coroner's Finding: McCormack, Donald Stewart

81y · Male·pneumonia complicating surgery for left hip fracture on a background of ischaemi…

An 81-year-old man with end-stage dementia, severe frontal lobe injury, and ischaemic heart disease died from pneumonia following hip fracture surgery. He fell while hip protectors were being cleaned after bowel incontin…

geriatric medicineorthopaedic surgery
SAhospital2021-11-23

Coroner's Finding: Barry, Margaret Joan

80y · Female·Right haemothorax due to bleeding right pleural adhesion with contributing apixa…

Margaret Joan Barry, 80, died from right haemothorax due to bleeding from a pleural adhesion while on apixaban anticoagulation therapy for atrial fibrillation. She was admitted to Royal Adelaide Hospital for psychiatric …

psychiatrycardiologyapixaban
SAhospital2021-11-23

Coroner's Finding: Beahl, Raymond Saxon

81y · Male·metastatic rectal adenocarcinoma with infected necrotic sacral ulcer

Raymond Saxon Beahl, 81, died of metastatic rectal adenocarcinoma complicated by an infected necrotic sacral ulcer. He was admitted to Oakden Older Persons Mental Health Service with severe dementia-related behavioural d…

psychiatrypalliative carediagnosticcommunicationamoxicillin/clavulanate
SAhospital2021-11-23

Coroner's Finding: Osborne, Brian Thomas

89y · Male·combined effects of cerebrovascular accident, pneumonia and chronic cardiac fail…

An 89-year-old man with multiple comorbidities (ischaemic heart disease, diabetes, COPD) presented with chest infection and was admitted for heart failure. He suffered an acute stroke with subsequent delirium and combati…

cardiologyneurologyinsulin
SAhospital2021-11-16

Coroner's Finding: Kresevic, Ivanka

74y · Female·acute myocardial infarction due to coronary artery thrombosis

74-year-old woman presented to emergency department with chest pain on 6 January 2017. She was diagnosed with gastro-oesophageal reflux disease and discharged after 53 minutes. She died of acute myocardial infarction due…

emergency medicinecardiologydiagnosticcommunication
SA2021-11-04

Coroner's Finding: Papageorgiou, Theo Nickolas

27y · Male·compression of the neck due to hanging

Theo Papageorgiou, a 27-year-old man with a history of psychotic and manic symptoms since November 2014, was briefly detained under a mental health order in November 2015 but discharged after only six days despite contin…

psychiatrygeneral practicediagnosticcommunicationolanzapine
SAaged care2021-06-30

Coroner's Finding: KOLAN Zygmunt

91y · Male·intracranial haemorrhage (subdural, subarachnoid and parenchymal) complicating r…

A 91-year-old man with Alzheimer's dementia died from intracranial haemorrhage following recurrent falls at a nursing home. He had multiple comorbidities including metastatic prostate cancer, metallic aortic valve replac…

geriatric medicineneurosurgerywarfarin
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