A Madison County Detention Center inmate who died Monday morning shortly after arrival at Baptist Health Richmond succumbed to acute peritonitis, according to a preliminary autopsy report from the state medical examiner.

Brandon Clint Hacker, 35, also was suffering from peptic ulcer disease and a “perforational duodenal ulcer,” said Madison County Coroner Jimmy Cornelison, quoting from the report.

The autopsy was performed Tuesday, he said.

Hacker was jailed May 1 on a charge of failing to pay child support, according to Madison County Jailer Doug Thomas.

The next day, Hacker told the jail’s nurse he was feeling ill and believed he was suffering from heroin withdrawal, Thomas said.

The inmate was then given medication to treat withdrawal symptoms, the jailer said, but he continued to be sick over the weekend. After a nurse saw him Monday morning, Hacker was taken by ambulance to the hospital where he died, Thomas said.

Toxicology tests that could show whether illegal drugs were in Hacker’s system and could have been a factor in his death may not be available for a few weeks, Cornelison said.

The coroner said he and state police interviewed Hacker’s cell mates. Because no foul play is suspected, Cornelison said he does not expect to conduct a criminal investigation as a result of the death.

Thomas said he relies on medical personnel for advice on whether an inmate who complains of drug-withdrawal symptoms should be hospitalized, in such cases. Hacker was being treated for the symptoms for which he complained, and when he didn’t respond to treatment, he was taken to the hospital, the jailer said.

Inmates are asked medical questions when they are booked into the jail, Thomas said, and “to my knowledge” Hacker did not say he suffered from ulcers then.

Bill Robinson can be reached at editor@richmondregister.com or at 624-6690.

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