Finding into death of Paul Kolembus

32y · Male·Complications of acute pancreatitis

A 32-year-old man with cerebral palsy, intellectual disability, and recurrent gallstone pancreatitis died from complications of acute pancreatitis at a palliative care facility. He had two unsuccessful attempts at surgical intervention (laparoscopic cholecystectomy and ERCP) in October 2012 due to anatomical complications related to his physical deformities. After these procedures, a decision was made against further surgical intervention, and palliative care planning commenced. The coroner found high-quality clinical care was provided throughout, with appropriate family involvement and timely medical treatment. No deficiencies in clinical management were identified, and the death was deemed an expected outcome of his terminal illness.