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HomeBest Practices → Case Study: Wrong Site Surgery

Case Study: Wrong Site Surgery Print E-mail
Written by Hall B. Whitworth, Jr., MD | Mutual Matters   
Monday, 09 October 2017 00:00

A 49-year-old man underwent a colonoscopy by a colorectal surgeon who identified a large, firm tumor causing partial narrowing, approximately 60-70 cm from the entry site. Pathology of this tumor was suspicious for carcinoma. In addition, a polypectomy was performed at a different location, and the site was tattooed. Pathology of this second site was consistent with tubulovillous adenoma.
 
Two weeks later, the same surgeon performed a partial colectomy of the tattooed area, believing it to be the marker for the tumor to be removed. On further consideration, after the procedure, the surgeon reviewed the colonoscopy and pathology reports and realized the wrong portion of the colon had been removed.

Last Updated on Tuesday, 10 October 2017 18:38
 


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