The cause of singer-songwriter Lisa Marie Presley’s death at 54 has been determined as an “obstruction in the form of a strangulated small bowel caused by adhesions that developed after bariatric surgery years ago. This is a known longterm complication of this type of surgery.”

The Los Angeles County Department of Medical Examiner confirmed the news Thursday and added that the manner of Presley’s death was natural.

Entertainment Tonight additionally reported the toxicology report showed “therapeutic levels of oxycodone” in Presley’s blood as well as traces of buprenorphine (an opioid that can be prescribed for pain relief and to treat opioid addiction) and quetiapine (an antipsychotic medication). The drugs were deemed “not contributory to death,” and “no evidence of injury or foul play” was found.

According to the report, the singer and only child of Elvis Presley was found unresponsive at her home in Calabasas by her ex-husband — reportedly Danny Keough — and died hours later after being hospitalized on Jan. 12.

Presley was feeling ill and had complaints of abdominal pain that morning; her ex-husband took her children to school that morning, and when he returned, he found Presley in cardiac arrest, notes the report.

The report also reveals that while in the emergency room, Presley had life-threatening heart rhythms and a temporary pacemaker implanted; she was admitted to the ICU for further management, but a scan revealed that she had already suffered a severe anoxic brain injury; and her condition dramatically declined at 4:48 p.m. when she went into cardiac arrest before she was pronounced dead 20 minutes later.

Carrillo specified in the report that Presley had a “distended abdomen for years.” He also noted that she “did not seek medical attention” despite “abdominal pain for the past few months” before entering the hospital. Presley also had severe metabolic acidosis, a buildup of acid in the body due to kidney disease or failure.

Presley — who had a history of issues with blood sugar and blood pressure, along with depression, anxiety and history of stroke (referred to as a cerebral vascular accident in the report) — also complained of feeling feverish, nauseated and vomited for months leading up to her death, according to the report.

Source, ET, People

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