68y · Male·Complications following colon surgery on a background of cirrhosis of the liver;…
…veloped. The coroner recommended comprehensive guidelines for perioperative assessment and management of cirrhotic surgical patients.
54y · Male·Complications including hepatic encephalopathy, pneumonia and multi-organ failur…
… 16-year imprisonment including specialist hepatology referrals, interferon therapy, microwave ablation of liver tumours, and regular monitoring. The coroner found the standard of supervision, treatment and care was rea…
56y · Male·Hepatorenal syndrome from end-stage liver disease (multifocal hepatocellular car…
Michael Metcalfe, a 56-year-old male prisoner with end-stage liver disease from hepatitis C cirrhosis and hepatocellular carcinoma, died from hepatorenal syndrome while in c…
53y · Male·Cardiomegaly in a man with obesity and chronic liver disease
Craig Ashley Hill, a 53-year-old man with multiple comorbidities including obesity, chronic liver disease with cirrhosis, cardiomegaly, hypertension, diabetes, and mental health conditions, died suddenly …
65y · Female·decompensated liver failure
…eveloped a small bowel obstruction and rapidly decompensated. Clinical lessons include: recognising that cirrhotic patients metabolise anaesthetics poorly (delayed awakening was a warning sign); early identification of …
35y · Male·head injury in a man with chronic liver disease
…ard. The death highlights how a single blow, particularly in individuals with underlying coagulopathy from liver disease, can have catastrophic consequences. Clinical lesson: awareness of increased bleeding risk in cirr…
69y · Female·Multiple organ failure due to secondary haemochromatosis (transfusion-associated…
…sferrin saturation had been at ~100% for years. She subsequently developed iron overload cardiomyopathy, cirrhotic liver changes, and acute renal failure. At emergency admission with perforated gallbladder, liver functi…
52y · Male·disseminated carcinoma of the gallbladder
David Issacson, 52 years old, died from disseminated gallbladder carcinoma at Royal Adelaide Hospital while detained under the Mental Health Act. He presented on 2 April with abdominal pain and was initially discharged f…
55y · Male·gastrointestinal haemorrhage due to oesophageal varices due to hepatocellular ca…
Robert McIntosh, a 55-year-old prisoner with undiagnosed cirrhosis of the liver, hepatitis C, and hepatocellular carcinoma, died from gastrointestinal haemorrhage and oesophageal varices…
62y · Male·metastatic hepatocellular carcinoma
… carcinoma in 2015. He had been diagnosed with hepatitis C in 2005, which is a significant risk factor for liver cancer. A liver biopsy in 2007 showed severe fibrosis with possible cirrhosis. The critical clinical lesso…
46y · Female·Prolonged effects and complications of a head injury, with upper airway obstruct…
Helen Ashburn, a 46-year-old woman with history of alcohol use, coagulopathy and seizures, died from prolonged effects of a severe head injury sustained on 25 October 2011. She presented to Kempsey Hospital with extensiv…
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