A man found unresponsive at the Montrose County Jail in August died of acute peritonitis, the coroner ruled.

A separate investigation of the in-custody death of Paulino Perez Martinez has not concluded.

The Montrose County Sheriff’s Office is awaiting word from the 7th Judicial District Critical Incident Team, which has yet to complete its probe and release findings, Undersheriff Adam Murdie said.

Perez Martinez, 44, was found unresponsive in his cell Aug. 23, where he was being held on warrants and on a protection order violation.

Deputies conducting a routine cell check discovered Perez Martinez and attempted to revive him until paramedics arrived to take him to the hospital. He was later there declared dead.

The MCSO conducts cell checks every 30 minutes on inmates held in general population.

The critical incident team investigates in-custody deaths as part of a standard protocol.

Perez Martinez had a history of severe chronic gastritis and gastric obstructions that caused thickening of the gastric outlets, as well as a dilated distal esophagus and chronic esophageal ulcer with scarring, with such secondary changes as enlarged lymph nodes, according to a Sept. 20 autopsy report completed by Dr. Michael Benziger, pathologist.

Perez Martinez’s condition resulted in “multiple visits” to the emergency room, per the report, which does not specify when the visits took place.

Perez Martinez also had chronic ulcers.

The report says an ulcer mass perforated, spilling blood and bacteria into his abdominal cavity, resulting in acute inflammation of the membrane lining the abdominal wall — peritonitis.

Martinez Perez also had a history of alcoholism and toxicology “showed fairly high levels of methamphetamine, even though this individual had been incarcerated,” the autopsy report states.

Dr. Thomas Canfield, Montrose County coroner, officially declared the manner of death as natural.

Katharhynn Heidelberg is an award-winning journalist and the senior writer for the Montrose Daily Press. Follow her on Twitter @kathMDP.

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