Page 31 - Diagnostic Radiology - Interpreting the Risks Part One

SVMIC Diagnostic Radiology: Interpreting the Risks

CASE STUDY

A 45-year-old male underwent hernia repair performed
on January 25, complicated by a protrusion of viscera

through the mesentery and severe adhesions throughout
the abdomen. On February 1, the patient developed

severe abdominal pain and a CT was performed. The CT
of the abdomen and pelvis was read via teleradiology by

the radiologist, who was located in a different city. Due
to inaccurate information, the radiologist was under the

impression that the hernia repair surgery occurred on the
same date that the CT was performed. The radiologist

read the CT scan as having free intra-abdominal air,
related to recent (within hours) abdominal surgery, along

with free fluid and some stranding, mild fluid density
scattered through the mesenteric fat. The patient ultimately

succumbed to the complications from his surgery. A
malpractice suit was filed against the surgeon and the

radiologist. Upon expert review of the radiology care,
fault was found with the radiologist in the interpretation

of the CT scan. There was a large amount of fluid, free
air, and dilated air fluid loops of small bowel that were

inconsistent with findings even occurring on the same day
post-operatively. Fault was placed with the

radiologist for obtaining an inaccurate history
resulting in a negligent interpretation of an

abdominal CT scan.

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