62y · Male·urosepsis
…tal with fever and restlessness on 17 August 2023, was found to have a large obstructing kidney stone on CT scan, and underwent emergency surgery. Post-operatively he developed acute renal failure, hypernatremia, and uro…
80y · Male·complications of necrotising pancreatitis secondary to pancreatic biopsy (EUS)
…pancreatitis in April 2011 after imaging revealed a suspected ampullary carcinoma. Following a negative PET scan in late April, he was referred for endoscopic ultrasound (EUS) with fine needle aspiration biopsy on 20 May…
0y · Female·Drowning
An 11-month-old girl drowned in a backyard koi fishpond after gaining access to the pond's edge, likely attempting to view the fish. Despite immediate CPR and rapid hospital transfer, she suffered hypoxic-ischaemic brain…
47y · Male·Metastatic mesothelioma
James John Wilson, a 47-year-old man imprisoned at Port Phillip Prison, died from metastatic mesothelioma on 5 May 2019 at St Vincent's Hospital. He was diagnosed with epithelioid mesothelioma in January 2019 following C…
50y · Female·Aspiration pneumonia, with epilepsy with frequent seizures as contributory cause
Hayley Michelle Impey, aged 50, died from aspiration pneumonia complicated by epilepsy with frequent seizures. She presented with status epilepticus requiring intubation and transfer to a tertiary hospital. She was extub…
49y · Male·Complications in association with advanced gastric malignancy
Roy Charles Gilbert, a 49-year-old prisoner, died from complications of advanced gastric adenocarcinoma with metastatic disease. He presented with gastrointestinal symptoms from 2009 onwards but initially declined invest…
58y · Male·Complications of diffuse large B-cell lymphoma
Domenico Joseph Palma, a 58-year-old man with intellectual disability residing in supported accommodation, died from complications of diffuse large B-cell lymphoma following hospital admission with dyspnoea, fatigue and …
76y · Female·Undetermined (natural causes)
HJ, a 76-year-old woman with chronic psychotic disorder and paranoid delusions, presented with abdominal pain, vomiting, and small bowel obstruction. Imaging revealed bilateral adnexal masses. Due to her lack of insight …
69y · Female·Metastatic ovarian adenocarcinoma
Dianne Hobbs, a 69-year-old woman with intellectual disability living in supported accommodation, died from metastatic ovarian adenocarcinoma. Advanced ovarian cancer was diagnosed in November 2022 following imaging and …
69y · Female·Aspiration pneumonia in a woman with intellectual disability
Elizabeth Geiger, a 69-year-old woman with intellectual disability living in a disability group home, died from aspiration pneumonia after presenting with constipation. She was seen by her GP on 24 July 2017 who examined…
79y · Male·Aspiration pneumonia in the setting of small bowel obstruction
A 79-year-old man with intellectual disability and multiple comorbidities (atrial fibrillation, COPD, epilepsy) presented with vomiting on 9 June 2016. His GP was initially not concerned, but after a third vomiting episo…
30y · Male·Haemopericardium due to dissecting aortic aneurysm secondary to bicuspid aortic …
A 30-year-old man in prison presented with severe central chest pain radiating to neck and back after gym exercise. A GP conducted physical examination, ECG, and diagnosed musculoskeletal pain. Pain improved within hours…
62y · Male·Complications of metastatic malignancy (likely lung primary)
Colin James Whaley, aged 62, died from complications of metastatic lung cancer while in custody at Junee Correctional Centre. He was a heavy smoker admitted to prison in June 2023. Significant weight loss (40kg) during i…
53y · Female·Aspiration pneumonia complicating large bowel obstruction due to faecal impactio…
Angela Kettyle, a 53-year-old NDIS participant with significant comorbidities including Type II diabetes, cirrhosis, and chronic constipation, died from aspiration pneumonia complicating large bowel obstruction due to fa…
76y · Female·Aspiration pneumonia and cholangitis; obstructive jaundice from intraduct tumour…
76-year-old woman with cerebral palsy, dysphagia, and PEG feeding died from aspiration pneumonia and cholangitis secondary to an obstructive bile duct tumour. She was admitted with obstructive jaundice and sepsis, underw…
4y · Female·Drowning
A 4-year-old girl from an Afghan refugee family drowned in Lysterfield Lake after entering the water during a brief lapse of supervision. She was unable to swim and had not received water safety education. Despite immedi…
0y · Female·Right ventricular failure secondary to pulmonary atresia with ventricular septal…
Armani El-Sayegh was a seven-month-old infant who died from right ventricular failure secondary to complex congenital heart disease (pulmonary atresia with ventricular septal defect and major aortopulmonary collateral ar…
51y · Male·Complications of aspiration pneumonia in a man with status epilepticus
A 51-year-old man with Lennox-Gastaut syndrome, intellectual disability, and recurrent aspiration pneumonia died from complications of aspiration pneumonia and status epilepticus. He presented with status epilepticus and…
48y · Male·Ischaemic Heart Disease in association with Coronary Arteriosclerosis
A 48-year-old Aboriginal man died of ischaemic heart disease with coronary arteriosclerosis while in prison custody. He had significant pre-existing cardiac disease and was diagnosed with myocardial infarction in 1998, y…
79y · Female·Aspiration pneumonia in a woman with COVID-19 and multiple medical co-morbiditie…
Jennifer Turnbull, 79, with cerebral palsy and multiple comorbidities, died from aspiration pneumonia complicated by COVID-19. She was admitted to hospital in October 2022 with recurrent aspiration pneumonia. A PEG tube …
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