In a confidential report of this case, Doe, age 55, underwent a laparoscopic cholecystectomy performed by a surgeon and partner. During the procedure, the surgeon was concerned that one of the trocars used could have perforated the patient’s small bowel. A trocar is a medical device used in surgery and placed through the abdomen during laparoscopic surgery.
The surgeon told his associates, including his partner, that if the patient developed complications after her discharge, the diagnosis of a perforated small bowel should be considered.
The patient later called the surgical group advising them that she was experiencing persistent vomiting and severe pain. The surgeon advised her to go to the emergency room. There the patient reported severe abdominal pain. Testing revealed an elevated white count, and a CT scan showed extensive free air and fluid in her naval area. At the hospital, a radiologist diagnosed a possible perforation related to the recent surgery, a small bowel obstruction and an abdominal abscess.