Coronial
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SAhospital2026-04-23

Coroner's Finding: Wilson, Charles Thomas

85y · Male·Sepsis due to Staphylococcus aureus bacteraemia due to septic arthritis of left …

An 85-year-old man died in custody from sepsis due to Staphylococcus aureus bacteraemia arising from septic arthritis of the left shoulder, on a background of congestive heart failure. While receiving generally adequate …

cardiologygeriatric medicinemedicationcommunicationmetoprolol
SAhospital2026-02-26

Coroner's Finding: Lowery, Nahuel Sebastian

41y · Male·Acute liver failure with contributing Castleman's disease

A 41-year-old Aboriginal man with HIV and Castleman's disease died from acute liver failure while on home detention. He had variable compliance with antiretroviral therapy, exacerbated by amphetamine use disorder and men…

infectious diseasesintensive careantiretroviral therapy
SA2025-08-28

Coroner's Finding: RJR

65y · Male·metastatic rectal cancer with extensive lung metastases

A 65-year-old man died from metastatic rectal cancer with extensive lung metastases while serving a prison sentence. He had presented with rectal bleeding symptoms since 2011 and returned a positive faecal occult blood t…

colorectal surgeryoncologyapixaban
SAhospital2022-04-13

Coroner's Finding: Cook, Courtney Liza

20y · Female·multi-organ failure due to polypharmacy overdose

A 20-year-old woman with depression and borderline personality disorder died from multi-organ failure following a large polypharmacy overdose (13 grams of paracetamol among 78 tablets). She was admitted to the ED where i…

emergency medicinegastroenterologydiagnosticcommunicationparacetamol
SAhospital2022-03-29

Coroner's Finding: Foster, Clive Anthony

76y · Male·end-stage renal failure

A 76-year-old man died of end-stage renal failure while imprisoned. He had pre-existing hypertension, diabetes, and stage 3 chronic kidney disease. During his final year in custody, he experienced acute kidney injury sup…

general medicinenephrology
SA2022-02-09

Coroner's Finding: Curran, Michael Anthony

62y · Male·metastatic hepatocellular carcinoma

Michael Anthony Curran, a 62-year-old prisoner, died from metastatic hepatocellular carcinoma in 2015. He had been diagnosed with hepatitis C in 2005, which is a significant risk factor for liver cancer. A liver biopsy i…

hepatologygastroenterologydiagnosticsystemribavirin
SAhospital2021-11-25

Coroner's Finding: Cannell, Peter Tasman

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

Peter Tasman Cannell, aged 48, 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 h…

gastroenterologyhepatology
SAhospital2021-06-30

Coroner's Finding: MOKETARINJA Anthea Ryder

42y · Female·multiple organ failure due to sepsis on a background of pneumonia, spontaneous b…

Anthea Ryder Moketarinja, a 42-year-old Aboriginal woman with advanced cirrhosis, died from multiple organ failure due to sepsis, pneumonia, spontaneous bacterial peritonitis, and end-stage liver disease. She was admitte…

general medicinepsychiatryantibiotics
SAhospital2020-06-25

Coroner's Finding: DEERING Peter Charles

66y · Male·metastatic oesophageal cancer

A 66-year-old man detained under criminal legislation died from metastatic oesophageal cancer at a hospital providing palliative care. He presented with weight loss and dysphagia in late 2016, was investigated at Royal A…

palliative caregastroenterologyclozapine
SAhospital2020-06-05

Coroner's Finding: HANCKEL Jonathan Mark

58y · Male·effects of chronic alcoholism

Jonathan Mark Hanckel, aged 58, died from chronic alcoholism complicated by Child C cirrhosis, hepatic encephalopathy, coagulopathy, sepsis, and multiple intracranial haemorrhages. While he sustained a fall on 13 October…

gastroenterologypsychiatry
SAhospital2019-10-23

Coroner's Finding: GIBSON Anthony Stephen

53y · Male·aspiration pneumonia on a background of oesophageal cancer and ischaemic heart d…

Anthony Stephen Gibson, aged 53, died in hospital from aspiration pneumonia secondary to oesophageal cancer and ischaemic heart disease. He was serving a prison sentence and was shackled to his bed throughout most of his…

gastroenterologygeneral surgerycommunicationsystem
SAcommunity2017-12-18

Coroner's Finding: WILSON Jason

40y · Male·drowning

Jason Wilson, a 40-year-old Aboriginal man, drowned in the River Murray while evading police questioning regarding a minor theft. He had recently undergone major abdominal surgery (partial gastrectomy, pancreatic duct st…

general surgerygastroenterology
SAhospital2017-08-25

Coroner's Finding: KELBIN William Thomas

81y · Male·gastrointestinal haemorrhage and multi-organ failure on a background of severe d…

William Thomas Kelbin, aged 81, died from gastrointestinal haemorrhage and multi-organ failure on a background of severe dementia. He had been placed under guardianship with detention powers after becoming unable to self…

geriatric medicinegeneral medicine
SAhospital2016-09-01

Coroner's Finding: CALLAGHAN Brian Francis

79y · Male·Multi-organ failure due to pneumonia and bleeding duodenal ulcer complicating su…

A 79-year-old man with ischaemic heart disease and dementia fell at home, sustaining a left hip fracture requiring surgery. Post-operatively, he developed hospital-acquired pneumonia, upper gastrointestinal bleeding from…

general surgeryorthopaedic surgery
SAhospital2016-08-25

Coroner's Finding: ISSACSON David Jacob

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…

general practiceemergency medicinediagnostic
SAhospital2014-11-28

Coroner's Finding: ANDERSON Joel Kenneth

50y · Male·hepatic encephalopathy secondary to liver cirrhosis with background of hepatitis…

Joel Kenneth Anderson, aged 50, died from hepatic encephalopathy secondary to advanced liver cirrhosis complicated by hepatitis C and hepatocellular carcinoma. He presented to hospital with end-stage liver disease, ascit…

gastroenterologyhepatologyspironolactone
SAhospital2014-04-17

Coroner's Finding: TABB Charles Andrew

50y · Male·multi-organ failure due to pancreatitis and generalised varicella zoster virus i…

Charles Andrew Tabb, a 50-year-old prisoner with non-Hodgkin's lymphoma (diagnosed 13 years prior, treated with bone marrow transplants), died of multi-organ failure from pancreatitis and disseminated varicella zoster vi…

haematologyinfectious diseases
SAaged care2013-11-29

Coroner's Finding: BETTS Lawrence

9y · Male·sigmoid volvulus

Lawrence Betts, a 9-year-old Aboriginal boy with Goldenhar syndrome and developmental disability including pica (ingesting foreign substances), died from sigmoid volvulus complicated by ingestion of soil, sand, and stone…

paediatricsgastroenterologysupervisionsystem
SAhospital2013-08-27

Coroner's Finding: BALNAVES Craig Henri

43y · Male·ischaemic small intestine due to incarceration of bowel in a mesenteric defect

Craig Henri Balnaves, a 43-year-old man with treatment-resistant schizophrenia detained at Glenside Hospital under mental health orders, died from ischaemic small intestine due to bowel incarceration in a congenital mese…

general surgerypsychiatryantacid
SAhospital2013-04-05

Coroner's Finding: RICCI John Peter

57y · Male·Acute renal failure complicating end stage liver cirrhosis with resultant enceph…

A 57-year-old man with end-stage alcoholic liver cirrhosis died of acute renal failure complicated by hepatic encephalopathy and coagulopathy while detained under mental health legislation. He presented with severe liver…

psychiatrygastroenterologylactulose

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