The death of Lisa Marie Presley, the singer-songwriter and only child of rock and roll legend Elvis, was caused by a bowel obstruction related to a prior weight loss surgery, medical examiners said.

Presley, who led a tumultuous life in the sprawling shadow of her world-famous father, died in January at age 54 after being discovered unresponsive in her home and rushed to the hospital.

Her cause of death was determined to be “a small bowel obstruction caused by scar tissue that developed after a previous bariatric surgery years ago. The manner of death is natural,” the County of Los Angeles Department of Medical Examiner said in a statement Thursday.

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