380 results
55y · Male·Complications of pneumonia
David Musicka, a 55-year-old man with cerebral palsy living in residential care, died from complications of pneumonia. Post-mortem examination revealed acute bilateral bronchopneumonia with cavitating lesions and Strepto…
52y · Female·Neutropenic sepsis leading to multi-organ failure due to capecitabine toxicity
Mrs L, a 52-year-old woman with T2N0M0 rectal cancer, died from neutropenic sepsis and multi-organ failure secondary to severe capecitabine toxicity on 31 October 2018. She commenced neoadjuvant chemotherapy with capecit…
70y · Male·carcinoma of the lung
Stuart Dugan, a 70-year-old prisoner with advanced lung cancer, died in hospice care. He had multiple missed opportunities for earlier diagnosis. While smoking-related lung cancer commonly presents late with poor prognos…
89y · Male·multi-organ failure on a background of advanced dementia and small cell lung can…
An 89-year-old prisoner with advanced dementia and small cell lung cancer died from multi-organ failure whilst in lawful custody at Yatala Labour Prison. He entered prison aged 83 with complex medical needs including isc…
75y · Male·cerebral metastatic malignancy (lung cancer with brain metastases)
Kenneth Ballard, aged 75, died in prison custody from cerebral metastatic lung cancer. He had been diagnosed with chronic lymphocytic lymphoma in 2012 and managed at Mount Gambier Prison. In late 2014, Mr Ballard refused…
56y · Male·aspiration pneumonitis secondary to airways obstruction from squamous cell carci…
Edgar Forrester, a 56-year-old Aboriginal man, died of aspiration pneumonitis secondary to oesophageal squamous cell carcinoma with metastases while in custody. He presented with progressive dysphagia from September 2019…
53y · Male·metastatic carcinoma of the rectum (operated)
Paul Eugene Anker, a 53-year-old prisoner, died from metastatic rectal carcinoma at the Queen Elizabeth Hospital. He had been appropriately diagnosed with bowel cancer in 2016 whilst in custody and underwent surgery, che…
75y · Male·Metastatic prostatic carcinoma
A 75-year-old Indigenous man died from metastatic prostate cancer while in prison custody. Diagnosed with cancer in 2012, he also had haemophilia A, ischaemic heart disease, and prior cerebrovascular accidents. By 2016, …
86y · Male·Complication of metastatic colorectal adenocarcinoma
Richard Willett, 86-year-old prisoner, died from complications of metastatic colorectal adenocarcinoma while in NSW Corrective Services custody. He was diagnosed with advanced colon cancer with liver and lymph node metas…
66y · Male·complications of chronic viral liver disease
Michael Murphy, aged 66, died in custody at Long Bay Correctional Centre from complications of chronic viral liver disease (hepatitis C-related cirrhosis and hepatocellular carcinoma). He had a lengthy medical history an…
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 metastases diagnosed in November 2016, shortly before his arr…
67y · Female·disseminated adenocarcinoma of the colon
A 67-year-old woman with metastatic colorectal cancer developed multiple cerebral metastases causing marked behavioural changes (irritability, disinhibition, aggression). She was appropriately placed on Mental Health Act…
63y · Male·metastatic carcinoma of the lung (small cell neuroendocrine carcinoma with poorl…
A 63-year-old male prisoner died from metastatic small cell lung cancer with adenocarcinoma features. Cancer was incidentally discovered during investigation of a deep vein thrombosis in October 2018, leading to one mont…
80y · Male·metastatic hepatocellular carcinoma
Cemil Guler, an 80-year-old man, died from metastatic hepatocellular carcinoma at Braeside Hospital. He was a forensic patient under Mental Health Act detention after being found not guilty by reason of mental illness of…
89y · Female·Liver metastasis and rectal malignancy
Daphne Pearl Hampstead died of rectal cancer with liver metastasis at Maryborough Hospital, Queensland on 7 November 2007, aged 89 years. She also had CREST syndrome. This inquest was convened to formally establish her i…
73y · Male·Metastatic rectal carcinoma
A 73-year-old man died from metastatic rectal carcinoma while serving a prison sentence. He was transferred from Port Phillip Prison to St Vincent's Hospital on 16 September 2018 for end-of-life care and died five days l…
58y · Male·carcinomatosis from unknown primary
David Kevin Loader, a 58-year-old life prisoner, died from metastatic cancer of unknown primary in January 2020. He presented with multiple episodes of back, abdominal, shoulder and rib pain between July and November 201…
54y · Male·asphyxia due to hanging
A 54-year-old man with long-standing mental health issues, substance use disorder, and terminal lung cancer died by hanging. He had a history of suicide attempts and was receiving palliative care. In his final months, he…
2y · Female·Complications relating to metastatic neuroblastoma
A 2-year-old girl with Stage IV high-risk neuroblastoma (N-myc positive) received intensive, world-class treatment including chemotherapy, surgery, mega-therapy, radiotherapy, and biotherapy at Princess Margaret Hospital…
85y · Male·hospital acquired pneumonia on a background of metastatic colorectal carcinoma
An 85-year-old man died from hospital-acquired pneumonia on a background of metastatic colorectal cancer. He was admitted to hospital with psychotic depression, suicidal ideation, and severe malnutrition after two years …
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