Failure to prescribe anticoagulants following laparoscopic left radical nephrectomy

This medical negligence case arose out of the care provided to Mr C.

In 2010, Mr C was diagnosed with chronic kidney disease (stage 4). He had a renal transplant in 2014.

On 23 November 2018, Mr Chu was admitted to hospital for a laparoscopic left radical nephrectomy (removal of the entire kidney and surrounding fat, usually used as a treatment for primary kidney tumours). The surgery was performed as CT imaging had confirmed a suspicious cyst in his atrophic left kidney.

The operation note documented post-operative instructions, including the prescription of anticoagulants on discharge. Despite these instructions, Mr C was not prescribed or given anticoagulants on discharge from hospital.

On 10 December 2018, Mr C represented to A&E with breathing difficulties. He was diagnosed with bilateral pulmonary embolisms. He later presented again with increased left leg swelling and a deep vein thrombosis was confirmed. He required long term anticoagulation treatment to prevent future pulmonary embolism.

An Incident Investigation Report was carried out by the Trust, which documented several failings in care.

Shortly after receipt of Mr C’s medical records, expert evidence was obtained from a consultant urologist. Thereafter, investigations into the likely value of the claim were undertaken.

A letter was sent to the Trust outlining the allegations of negligence. An offer of settlement was also made. The hospital Trust responded and admitted liability. The case settled shortly thereafter for £7,000.

Christina Mallery specialises in claims relating to the failure to administer correct medication. If you would like to ask Christina a question about a potential clinical negligence claim, or if you have a general query about any personal injury claim, contact Christina at Thomson Snell & Passmore solicitors on 01892 701183 in confidence.