57y · Male·Bleeding oesophageal varices due to cirrhosis and metastatic hepatocellular carc…
…year-old prisoner with hepatitis C, cirrhosis, and advanced hepatocellular carcinoma died from bleeding oesophageal varices. He was appropriately managed with aggressive treatment including TACE and variceal ligation, f…
48y · Male·Multi-organ failure from acute gastrointestinal haemorrhage associated with oeso…
…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 hepatitis C, cirrhosis, thrombo…
60y · Male·Complications of gastrointestinal haemorrhage due to cirrhosis of the liver seco…
…ary to cirrhosis from hepatitis B. He presented with multiple serious pre-existing conditions including oesophageal varices, ischaemic heart disease, and uncontrolled diabetes. In prison, his medication compliance impro…
50y · Male·hepatic encephalopathy secondary to liver cirrhosis with background of hepatitis…
…tion for medication delivery, antibiotic treatment for peritonitis, and endoscopic assessment revealing oesophageal varices, his condition rapidly deteriorated. He was deemed unsuitable for transplant due to high tumour…
49y · Male·small intestinal infarction due to mesenteric and portal vein thrombosis associa…
…nfarction due to mesenteric and portal vein thrombosis. He was admitted to Royal Adelaide Hospital with oesophageal varices from portal hypertension, treated with endoscopic banding. On 19 October 2003, he became deliri…
55y · Male·gastrointestinal haemorrhage due to oesophageal varices due to hepatocellular ca…
…sis of the liver, hepatitis C, and hepatocellular carcinoma, died from gastrointestinal haemorrhage and oesophageal varices. While the coroner found that medical care provided was appropriate and death could not have be…
51y · Male·Acute myocardial infarction due to coronary atherosclerosis
A 51-year-old man with end-stage renal disease, hepatitis C cirrhosis, endocarditis, and aortic valve disease died in custody from acute myocardial infarction. He presented with gastrointestinal bleeding, pancytopenia, a…
39y · Male·Complications arising from widely disseminated primary pulmonary small cell carc…
A 39-year-old male inmate died from complications of widely disseminated small cell lung cancer with hepatitis C cirrhosis. He presented with acute psychosis and catatonia in December 2018, receiving appropriate psychiat…
55y · Male·Complications of liver cirrhosis and hepatocellular carcinoma in a man with mult…
Robert Exell, a 55-year-old Aboriginal man, died from complications of liver cirrhosis and hepatocellular carcinoma while in custody. He had chronic hepatitis C and alcohol-related liver disease since at least 2012. Key …
64y · Male·hospital-acquired pneumonia on a background of end-stage cryptogenic liver cirrh…
Peter Langford, aged 64, died of hospital-acquired pneumonia complicated by end-stage cryptogenic liver cirrhosis after a 43-day admission to Flinders Medical Centre. He presented with severe cellulitis requiring amputat…
51y · Male·Complications of Recurrent Small Bowel Obstruction (palliated)
Matthew Clark, 51, with Down syndrome and chronic liver disease secondary to Hepatitis B, died from complications of recurrent small bowel obstruction. He had undergone emergency surgery in June 2018 for a perforated bow…
56y · Male·Hypoxic ischaemic encephalopathy following cardiac arrest
Anthony Gaylard, a 56-year-old man with severe intellectual disability living in residential care, suffered a cardiac arrest on 14 September 2012 (note: document states 2007 in one place, 2012 elsewhere; finding date is …
68y · Male·end stage liver failure due to hepatitis C
James William Miller, aged 68, died of end-stage liver failure due to hepatitis C while an inmate at Yatala Labour Prison, admitted to Mary Potter Hospice for terminal care. He had multiple comorbidities including prosta…
50y · Male·myocardial infarction caused by coronary atherosclerosis
Desmond Jambajimba Tilmouth, a 50-year-old Aboriginal man, died of myocardial infarction from severe coronary atherosclerosis complicated by end-stage renal disease and an incarcerated strangulated umbilical hernia. He d…
52y · Male·complications in association with advanced malignancy (hepatocellular carcinoma)…
Jeffrey Lee Strettles, 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 …
71y · Male·Exsanguination from incised wounds to the neck and wrist
A 71-year-old man with bipolar disorder, depression, alcohol addiction, and cirrhosis died by suicide via exsanguination from neck and wrist lacerations. He had stopped psychiatric medications in 2017 and was managed by …
56y · Female·multi-organ failure complicating severe burns on a background of alcoholic liver…
A 56-year-old woman with alcoholic liver disease, cerebellar atrophy, and marked mobility impairment suffered fatal full-thickness burns (75% TBSA) from scalding shower water at Flinders Medical Centre. She was left unat…
56y · Male·unascertainable; complications of liver cirrhosis and/or exposure most likely
Delray Beasley, a 56-year-old Aboriginal man with chronic liver cirrhosis from longstanding alcohol abuse, was admitted to Kalgoorlie Hospital in May 2010 following an alleged assault. He was initially evaluated for poss…
45y · Male·Intra-abdominal haemorrhage due to ruptured spleen due to splenomegaly due to ci…
Hayward Rasmussen, a 45-year-old man with cirrhosis and severe splenomegaly, died from intra-abdominal haemorrhage due to ruptured spleen while in custody. He collapsed in prison after sustaining possible rib injuries fr…
64y · Male·complications in association with thermal injuries in a man with underlying chro…
Kim Vulich, a 64-year-old man with decompensated liver cirrhosis from chronic alcohol use, developed hepatic encephalopathy and cognitive impairment including possible Korsakoff syndrome. Despite SAT guardianship orders …
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