Patient Suffers Multiple Injuries from Botched Colonoscopy
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Case Overview
This case takes place in Arkansas and involves a female patient who underwent a routine colonoscopy performed by the defending surgeon. No negative findings were evident in the procedure, though in the recovery area immediately following the procedure, the patient noted severe pain in her abdomen. The patient reported this to the surgeon, however the surgeon did not examine her further. No treatment or evaluation was made prior to the patient’s discharge. Several hours after her colonoscopy, the patient began experiencing increasing abdominal pain. She was advised to take an over-the-counter painkiller and proceed to an emergency room if the pain persisted. The patient later presented to the ER, where diagnostic studies revealed that she was experiencing severe internal bleeding. They found that her appendix had been ruptured. Following the surgery, the patient required an extended hospital stay. The plaintiff alleges that the appendix was ruptured during the course of her colonoscopy and there was a lack of follow-up treatment that may have mitigated her injuries.
Questions to the Gastroenterology expert and their responses
Do you routinely treat patients similar to the one described in the case? Please explain.
It is very probable that the rupture was related to the colonoscopy. The suffering relates to the complication and to the surgery. Additional damages relate to the susceptibility to infections, surgical wound, etc. I am very familiar with the aspects of this injury.
What are some of the signs and symptoms of a ruptured appendix?
Typical signs are pain in the left side of the abdomen and later generalized abdominal pain, shoulder pain, low blood pressure, fainting, nausea, and vomiting.
Have you ever served as an expert witness on a case similar to the one described above? If so, please explain.
I have not served as an expert in a case regarding this particular injury but have on cases related to colonoscopy.
Do you believe this patient may have had a better outcome if the care rendered had been different?
The patient had signs of a serious complication, which could have been diagnosed earlier.
About the expert
This highly experienced double board certified Gastroenterologist is currently Professor of Medicine at a major university. He completed a residency and fellowship at the prestigious Yale University School of Medicine, He is a Fellow of the Molecular medicine Society as well as a member of multiple professional societies including the American Gastroenterological Association, and the American Federation for Clinical Research. This expert has won countless honors and awards for his contributions to research and academia. He has mentored hundreds if not thousands of medical students and Gastroenterologists throughout his illustrious career. This expert is highly active in the research community with over $7 million dollars in funding for his projects in the last four years. He is also an innovator with 24 patents in his name. He has published over 90 peer-reviewed journal articles and serves as a reviewer for multiple publications.

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About the author
Joseph O'Neill
Joe has extensive experience in online journalism and technical writing across a range of legal topics, including personal injury, meidcal malpractice, mass torts, consumer litigation, commercial litigation, and more. Joe spent close to six years working at Expert Institute, finishing up his role here as Director of Marketing. He has considerable knowledge across an array of legal topics pertaining to expert witnesses. Currently, Joe servces as Owner and Demand Generation Consultant at LightSail Consulting.
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