“This is a known long-term complication of this type of surgery,” notes Deputy Medical Examiner Dr. Juan Carrillo.
Lisa Marie Presley at the 2023 Golden Globes in January.Todd Williamson/NBC/NBC via Getty

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.
The toxicology results concluded that levels of oxycodone remained in Presley’s blood at the time of death. Months prior, she had another cosmetic surgery and was prescribed medicine for the pain; she later developed an infection and was admitted to the Los Angeles Robles Hospital, states the report.
Quetiapine metabolite, an antidepressant along with norbuprenorphine and buprenorphine, which treats opioid addiction, was also present in her system but did not contribute to her actual death, the coroner concluded.
“The decedent had a history of overmedicating; she was known to forget she had taken her medications and would take them again,” the report reads. “She had ahistory of alcohol abuse and illicit druguse in the past. She had reportedly been clean from both since 2015. She smoked approximately 1 pack of cigarettes daily.”
Just days before her shocking death,Presley attended the Golden Globesalongside her mother, Priscilla.
“It is with a heavy heart that I must share the devastating news that my beautiful daughter Lisa Marie has left us,” Priscilla confirmed in a statement to PEOPLE in January. “She was the most passionate, strong and loving woman I have ever known. We ask for privacy as we try to deal with this profound loss. Thank you for the love and prayers.”
Born in 1968, Lisa Marie Presley followed in her father’s footsteps as a musician and released three albums over the course of her career: 2003’sTo Whom It May Concern, which went on to become gold-certified for over 500,000 units sold in the United States, as well as 2005’sSo Whatand 2012’sStorm & Grace.
Lisa Marie Presley performing.Jeff Kravitz/FilmMagic

The months following Lisa Marie’s death had beenfraught with tensionwithin her immediate family as Priscilla attempted to wrangle control of the late star’s trust — which friends say she wanted in the hands of daughterRiley Keough.
A settlement was reached in June, with Rileybecoming the sole trustee of Lisa Marie’s estateand the actresspaying Priscilla $1 million as well as $400K in legal feesto settle the family trust suit.
source: people.com