Coronial
QLDhospital

Wust, Phillip John

Deceased

Phillip John Wust

Demographics

56y, male

Coroner

Ryan

Date of death

2020-01-08

Finding date

2021-06-11

Cause of death

Liver cancer (hepatocellular carcinoma)

AI-generated summary

Phillip John Wust, a 56-year-old prisoner with chronic hepatitis C and cirrhosis, died from hepatocellular carcinoma. Serial imaging from 2018-2019 showed cirrhosis but no evidence of cancer until December 2019 when he presented acutely unwell. Advanced infiltrative hepatocellular carcinoma was diagnosed on 30 December 2019 and he died 9 days later. The coroner found no missed diagnostic opportunities and that the medical investigation was timely and thorough. While earlier radiological detection may theoretically have been possible, the outcome would likely have been palliative regardless. All guidelines were followed and care provided met community standards. No preventable factors were identified.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

hepatologyoncologygeneral medicineradiologypalliative care

Drugs involved

rivaroxabanspironolactonefurosemideceftriaxoneenoxaparinmorphinemidazolamhaloperidol

Clinical conditions

hepatocellular carcinomahepatitis Ccirrhosisportal vein thrombosispulmonary embolismasciteshepatic encephalopathysubdural hygroma

Procedures

ultrasoundCT scanMRIendoscopyultrasound-guided drainage

Contributing factors

  • chronic hepatitis C
  • cirrhosis
  • aggressive infiltrative carcinoma
  • atypical tumour biology
Full text

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