Lisa Marie Presley died from a small bowel obstruction caused by an adhesion that developed after gastric bypass surgery years ago, the Los Angeles County Medical Examiner’s Office said Thursday.

Adhesions are a “known long-term complication” of gastric bypass surgery, according to Dr. Juan Carrillo, a deputy medical examiner.

Review of the toxicology results showed therapeutic levels of oxycodone in her blood, but did not contribute to her death, Carrillo said.

TMZ reported Presley had a cosmetic procedure a few months before her death, after which she was prescribed opioids.

Presley, the daughter of Elvis Presley, died Jan. 12 at the age of 54.

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