Coronial

28 results for early cirrhosis

WAhospital2014-11-21

Inquest into the Death of Robert James (aka Philip Kevin Luckie and Robert John Coughlin)

44y · Male·Early bronchopneumonia in a man receiving palliative medical care for liver fail…

Robert James, a 44-year-old prisoner with end-stage hepatitis C cirrhosis, died from early bronchopneumonia while receiving palliative care. He had been terminally ill for over a…

gastroenterologyhepatology
NSWhospital2010-12-22

Finding patience,iandonald 970 07

68y · Male·Complications following colon surgery on a background of cirrhosis of the liver;…

…n Donald Patience, 68, died on 10 June 2007 from complications following colon surgery in the setting of cirrhosis. He underwent right hemicolectomy at Sydney South West Private Hospital on 31 May 2007 for colorectal ca…

general surgerygastroenterologydiagnosticcommunicationmorphine
VIChospital2011-04-04

Finding into death of Michael Metcalfe

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 custody. He was transferred betwee…

palliative carehepatology
SAhospital2021-11-25

Coroner's Finding: Cannell, Peter Tasman

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

…rgan failure due to acute gastrointestinal haemorrhage from oesophageal varices on a background of liver cirrhosis. He had a medical history of hepatitis C, cirrhosis, thrombocytopenia, and anaemia. Clinical warning sig…

gastroenterologyhepatology
VIChome2015-11-05

Finding into death of Bradley Alan Scott

43y · Male·Incised right radial artery

Bradley Scott, a 43-year-old man with chronic alcohol dependence and hepatic cirrhosis, died from exsanguination following an incised right radial artery. After consuming significant quantiti…

forensic medicinetoxicologyalcohol
TAShospital2022-11-11

Coroner's Finding: Revell, Dianne Judith

65y · Female·decompensated liver failure

Ms Revell, a 65-year-old with Child Pugh Class C cirrhosis secondary to 20 years of heavy alcohol use and hepatitis C, was admitted following an intoxicated fall c…

general surgerygastroenterologycommunication
ACThospital2026-05-12

Inquest into the death of Mr Deleman

69y · Male·peritonitis due to perforated bowel

Mr Deleman was a 69-year-old man with untreated schizophrenia, advanced liver cirrhosis, and hepatitis C, presenting to hospital on 1 April 2024 with abdominal swelling. He was admitted to The…

emergency medicinegastroenterologypaliperidone
WAhospital2022-02-14

Inquest into the Death of Jeffrey Lee STRETTLES

52y · Male·complications in association with advanced malignancy (hepatocellular carcinoma)…

…rettles, a 52-year-old prisoner, died from complications of advanced hepatocellular carcinoma, end-stage cirrhosis, and generalised sepsis. He had contracted Hepatitis C in the late 1980s and was diagnosed with liver ca…

gastroenterologyoncologysystemledipasvir
VIChome

Finding into death of E H

51y · Male·Complications of chronic ethanol use

EH was a 51-year-old man with chronic alcohol dependence, liver cirrhosis, and recent hip fracture complications who died at home on 1 November 2022 whilst waiting for an ambulan…

emergency medicineorthopaedic surgerysystemdelayalcohol
QLDhospital2020-05-25

Newstead, Mark Graham

51y · Male·metastatic small round cell malignancy (Ewing's Sarcoma)

…review found the healthcare provided was appropriate and the malignancy could not have been predicted from early symptoms. The clinical lesson is that rapid investigation and treatment of acute neurological presentation…

orthopaedic surgeryspinal surgery
VICcommunity2020-02-12

Finding into death of Stephen James Johnston

57y · Male·Complications of multiple blunt force injuries in a man with ischaemic heart dis…

…tes the critical importance of recognising when patients have suffered assault rather than falls, ensuring early emergency response, and the devastating consequences of delayed medical care in trauma victims.

emergency medicineintensive caredelayoxycodone
WAhospital2019-05-22

Inquest into the Death of Garth Cyril HEAVEN

57y · Male·Bronchopneumonia complicating metastatic and locally advanced primary adenocarci…

A 57-year-old male prisoner died from bronchopneumonia complicating metastatic lung adenocarcinoma. He was diagnosed with stage IV lung cancer in February 2016 while incarcerated and opted for palliative care, declining …

palliative careoncologymethadone
VIChome2026-07-06

Finding into death of Tammie Lou Arnel

63y · Female·Acute on chronic lung disease in the setting of multiple comorbidities including…

…with all daily living activities. In June 2025, her medical team identified progressive kidney disease and early cirrhosis, leading to a palliative care referral with plans for comfort-focused care. On 24 June 2025, her…

palliative caregeneral medicine
NSW2023-08-23

Inquest into the death of Stefan Wakeman

55y · Male·ischaemic heart disease

… 9 June 2019. Autopsy revealed significant coronary artery narrowing (40-50% to 70-80%) with emphysema and early pneumonia. He had substantial medical comorbidities including chronic obstructive airways disease, liver c…

correctional healthgeneral practicemethadone
VIChospital2019-08-01

Finding into death of Tyla Jade Hovenbitzer

18y · Female·Multiorgan failure complicating malnutrition in a female with liver cirrhosis, o…

…dical oversight, and behavioral management from 2007 onwards allowed progressive decline to go undetected. Early identification of malnutrition risk, attempted intervention in dietary restriction, and ensuring regular m…

paediatricsgeneral practicesystemdelaytemazepam
VIChome2026-07-17

Finding into death of J H

41y · Male·Combined effects of mixed drug toxicity (amphetamine, alprazolam, bromazolam, co…

JH, a 41-year-old male with ADHD, cirrhosis, and opioid addiction, died from combined drug toxicity involving amphetamine, alprazolam, bromazolam, c…

general practiceemergency medicineamphetamine
VIChospital2022-08-19

Finding into death of Ruth Ann McKenna

62y · Female·Hypovolaemic and cardiogenic shock (hysterectomy) in the context of cardiomegaly…

A 62-year-old woman with significant comorbidities (cirrhosis, cardiomegaly, thrombocytopenia, chronic kidney disease, COPD) died from hypovolaemic and cardiogenic sh…

gynaecologyanaesthesiadiagnosticsystemmetaraminol
VIChospital2019-08-30

Finding into death of Agostino Cutugno

57y · Male·Small bowel perforation complicating small bowel obstruction arising from intra-…

… multiple teams managing his condition. Key clinical lesson: prisoners with cognitive disabilities require early family involvement to provide medical history context and support decision-making. The coroner found medic…

general surgeryintensive carecommunicationsystemproton pump inhibitors
TAShospital2025-04-23

Coroner's Finding: Dow, Vicki Elizabeth

69y · Female·Multiple organ failure due to secondary haemochromatosis (transfusion-associated…

…ely to alter outcome given organ damage. Cardiac arrhythmias during surgery lacked clear documentation and early amiodarone treatment. Key lesson: proactive discussion of iron chelation risks versus medication burden is…

haematologyemergency medicinecommunicationdiagnosticiron chelation therapy
QLDhospital2010-05-07

Cramb, Fay - aka Valmae Beck

64y · Female·Haemorrhage into atheromatous plaque, due to coronary atherosclerosis

…dical staff must identify and consult the statutory health attorney (designated substitute decision-maker) early. The coroner found no evidence that criminal investigation priorities influenced her care, and commended t…

cardiologyintensive caresystem

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