This case involves a woman who underwent an outpatient hysteroscopic myomectomy for the resection of uterine fibroids. She was discharged home but had an episode of intense abdominal pain that prompted her to return to the ER. A CT of the abdomen revealed free air and fluid, and reports of surgical clips but the surgical note clearly states that no clips were used in the myomectomy. It is believed that the metal came from the loop tool used during the myomectomy and that physicians failed to recognize that material was left behind. It was a full 12 hours before the patient was worked up and given a diagnosis of bowel perforation which led to a severe systemic infection. The complications of this were that the patient became severely septic and was hospitalized for approximately 30 days.
Question(s) For Expert Witness
1. Do you believe that the delay in the work-up caused the patient to deteriorate so rapidly?
Expert Witness Response E-000189
As you are correctly asking, the essence of the case is whether or not 12 hours made the difference. I believe yes, it did; it doesn't take long for a patient with this condition to become septic if they are not handled properly right away. I would like to know the exact time-frame and the initial condition of the patient. I do a lot of GI-related procedures in my practice, and would be interested in reviewing this case.
About the author
Michael Talve, CEO
Michael Talve stands at the forefront of legal innovation as the CEO and Managing Director of Expert Institute. Under his leadership, the Expert Institute has established itself as a vital player in the legal technology arena, revolutionizing how lawyers connect with world-class experts and access advanced legal technology. Michael's role involves not only steering the company's strategic direction but also ensuring the delivery of unparalleled intelligence and cutting-edge solutions to legal professionals. His work at Expert Institute has been instrumental in enhancing the capabilities of attorneys in case preparation and execution, making a significant impact on the legal industry's approach to expert consultation and technological integration. Michael's vision and execution have positioned the Expert Institute as a key facilitator in the intersection of law and technology.
